Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT022166 | PA |
NPI | 1013278373 |
---|---|
Provider Name | Justin Geissinger |
First Address | Lancaster, PA 17603-3329 |
Second Address | Lancaster, PA 17603-4769 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2012 |
Last Update Date | 13/03/2013 |