Organization
RUSSELL BIUNDO MD INC
Active
Organization
RUSSELL BIUNDO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL BIUNDO MD (PRESIDENT)
(304) 598-1122
Entity
Organization
Contact information
Practice address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505-3437
(304) 598-1122
(304) 598-1124
Mailing address
1160 VAN VOORHIS RD, MORGANTOWN, WV 26505-3437
(304) 598-1122
(304) 598-1124
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016737660001
PENNSYLVANIA MEDICAID
PA
01
—
001707270
MT STATE BLUE CROSS BLUE
—
01
—
1424801
UMWA
—
01
—
198177
FEDERAL BLACK LUNG
—
01
—
784081100
MARYLAND MEDICAID
MD
01
—
CG6938
RAILROAD MEDICARE
—
Enumeration date
03/29/2006
Last updated
09/21/2012
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