Individual
RUSSELL BIUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
WV16623
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712437
MT STATE BLUE CROSS BLUE
—
05
—
0113386000
—
WV
01
—
124508400
DEPT OF LABOR WORK COMP
—
01
—
1506998
GATEWAY HEALTH PLANS
—
01
—
198177
FEDERAL BLACK LUNG
—
01
—
282258
ALLIANCE PPO
—
01
—
311545097
4 MOST HEALTH PLANS
—
01
—
4266957
AETNA
—
01
—
784081100
MARYLAND MEDICAID
MD
01
—
E65412
CARELINK
—
01
—
WVMX2847
ADVANTAGE HEALTH
—
Enumeration date
03/28/2006
Last updated
04/05/2022
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