Individual
BUU ANH TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE GUTHRIE SQUARE, SAYRE, PA 18840
(570) 887-3585
Mailing address
1 GUTHRIE DR # 107, CORNING, NY 14830-2899
(607) 973-8000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
304401
NY
208600000X
Surgery Physician
MD470605
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2014
Last updated
03/05/2021
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