Russell S Bufalino in Old Forge - Orthotist
Russell S Bufalino - NPI 1609836907
Russell S Bufalino is a Orthotist in Old Forge, Pennsylvania. Russell S Bufalino practices all healthcare services and medical treatments related to Orthotist. The NPI Number for Russell S Bufalino is 1609836907. The last update date is 2010-03-18.
Russell S Bufalino's current location address is 313 S Main St, Old Forge, Pennsylvania. You can contact this provider via phone number 5704511122 and fax number 5704510541. The mailing address for Russell S Bufalino is 313 S Main St, Old Forge, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell S Bufalino |
|---|---|
| Address | 313 S Main St, Old Forge, Pennsylvania |
| Phone Number | 5704511122 |
| Fax Number | 5704510541 |
| Sole Proprietor | Y |
| Credentials | M.D.,J.D. |
NPI Number Detail
| NPI Number | 1609836907 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2010-03-18 |
Provider Mailing Address Detail
| Address | 313 S Main St |
|---|---|
| City | Old Forge |
| State | Pennsylvania (PA) |
| Post Code | 185181606 |
| Phone Number | 5704511122 |
| Fax Number | 5704510541 |
Provider's Primary Taxonomy Detail
| Speciality | Orthotist |
|---|---|
| Taxonomy | 222Z00000X |
| Licence No | MD008940E |
|
Definition: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7289228 | PA | AETNA | |
| 1563559 | PA | -- | |
| BU108435 | PA | BLUE CROSS BLUE SHIELD | |
| 817264 | PA | 1ST PRIORITY |
Post Comment/ Review Below
What is the Russell S Bufalino's 1609836907?
The Russell S Bufalino's NPI (National Provider Identifier) Number is 1609836907. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Russell S Bufalino located?
The Russell S Bufalino is located at 313 S Main St, Old Forge, PA 185181606.
What is Russell S Bufalino's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Russell S Bufalino is Orthotist, and the taxonomy code that categorizes this field of expertise is 222Z00000X.
On what date did the Russell S Bufalino receive its 1609836907 assignment from the Centers for Medicare & Medicaid Services?
The Russell S Bufalino was assigned its 1609836907 by the Centers for Medicare & Medicaid Services on 2006-03-23.
When was the information pertaining to Russell S Bufalino most recently updated or revised?
The details related to Russell S Bufalino, including its address, specialty, and other relevant information, were last updated or revised on 2010-03-18.
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