Individual
SHAWN BIFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
334 MAIN ST, DICKSON CITY, PA 18519-1668
(610) 402-8900
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD465395
PA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD465395
PA
Other
Enumeration date
04/01/2016
Last updated
08/20/2024
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