IndividualActive
Russell Bufalino, M.D.,J.D.
NPI 1609836907 · Orthotist · Old Forge, PA
Provider details
- NPI number
- 1609836907
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.D.,J.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD008940E (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
313 S Main St
Old Forge, PA 18518-1606
Phone: (570) 451-1122
Fax: (570) 451-0541
Approximate (ZIP-level) locationGet directions
Mailing address
313 S Main St
Old Forge, PA 18518-1606
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2010-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.