Individual
JACOB MATTHEW BUDNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 CELESTE DR, JOHNSTOWN, PA 15905-2832
(814) 792-6188
Mailing address
2 CELESTE DR, JOHNSTOWN, PA 15905-2832
(814) 792-6188
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
71101
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
OS17743
PA
Other
Enumeration date
04/03/2009
Last updated
08/24/2015
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