Provider First Line Business Practice Location Address:
1800 MULBERRY STREET
Provider Second Line Business Practice Location Address:
GEISINGER COMMUNITY MEDICAL CENTER
Provider Business Practice Location Address City Name:
SCRANTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18510-2006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-808-7300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2012