Organization
W A B PHYSICAL MEDICINE & REHABILITATION OF PENNSYLVANIA PC
Active
Other names
Robert Rundorff MD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A BERGIN D.O. (OWNER)
(814) 539-0257
Entity
Organization
Contact information
Practice address
16 ROSE STREET, JOHNSTOWN, PA 15905-4327
(814) 539-0257
(814) 536-0963
Mailing address
16 ROSE ST, JOHNSTOWN, PA 15905-4327
(814) 539-0257
(814) 536-0963
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028363120001
—
PA
01
—
1295074417
GROUP NPI
—
01
—
2896336
BLUE SHIELD
PA
Enumeration date
02/07/2013
Last updated
12/10/2025
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