Organization
BONFIGLIO REHABILITATION SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL C BONFIGLIO M.D. (PRESIDENT)
(412) 780-0741
Entity
Organization
Contact information
Practice address
5620 WILLIAM PENN HWY, MURRYSVILLE, PA 15632-9035
(412) 780-0741
Mailing address
PO BOX 248, MURRYSVILLE, PA 15668-0248
(412) 977-0980
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301091328
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019122100001
—
PA
Enumeration date
08/09/2006
Last updated
02/26/2013
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