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1609836907
RUSSELL S BUFALINO
OLD FORGE, PA
NPI
1609836907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Z00000X Orthotist
(Licence: PA MD008940E)
Enumeration Date
2006-03-23
Last Update Date
2010-03-18
Business Address
-- RUSSELL S BUFALINO M.D.,J.D.
313 S MAIN ST
OLD FORGE, PA 18518-1606
Phone number: 570-451-1122
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Mailing Address
-- RUSSELL S BUFALINO M.D.,J.D.
313 S MAIN ST
OLD FORGE, PA 18518-1606
Phone number: 570-451-1122
Copy