Individual
DR. DENNIS RAY BANDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2807 N FRONT ST, HARRISBURG, PA 17110-1222
(717) 233-4691
(717) 233-8836
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD-04125-E
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD041256E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001127882004
—
PA
Enumeration date
07/05/2006
Last updated
08/30/2020
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