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Russell S Bufalino, MD,JD
Orthotist in Old Forge, Pennsylvania
NPI 1609836907

Russell S Bufalino is a Orthotist based in Old Forge, PA. Russell S Bufalino practices in Old Forge, PA and has the professional credentials of MD,JD. The NPI Number for Russell S Bufalino is 1609836907 and holds a License No. MD008940E (Pennsylvania).

The current practice location address for Russell S Bufalino is 313 S Main St, Old Forge, PA and can be reached out via phone at 570-451-1122 and via fax at 570-451-0541.

Location: 313 S Main St, Old Forge, PA, 18518-1606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609836907
Provider Name
Russell S Bufalino
Credential
MD,JD
Provider Entity Type
Individual
Gender
Male
Address
313 S Main St, Old Forge, PA, 18518-1606
Phone Number
570-451-1122
Fax Number
570-451-0541
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7289228 01 PA AETNA
1563559 05 PA
BU108435 01 PA BLUE CROSS BLUE SHIELD
817264 01 PA 1ST PRIORITY
institution
Provider Business Practice Location Address Details
Address
313 S Main St
City
Old Forge
State
Pennsylvania
Zip
18518-1606
Phone Number
570-451-1122
Fax Number
570-451-0541
person
Provider Business Mailing Address Details
Address
313 S Main St
City
Old Forge
State
Pennsylvania
Zip
18518-1606
Phone Number
570-451-1122
Fax Number
570-451-0541
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
MD008940E (Pennsylvania)
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 extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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