Individual
ERWIN K BUENASEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2701 KIRKWOOD HWY, LOWER LEVEL, WILMINGTON, DE 19805-4911
(302) 668-1768
(302) 668-1794
Mailing address
1265 WAYNE AVE STE 308, 119 PROFESSIONAL BUILDING, INDIANA, PA 15701-3501
(724) 081-8095
(724) 801-8147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
JI-0001072
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700100336
—
DE
01
—
2155101
HIGHMARK
DE
05
—
2449064
—
MD
01
—
3775507000
IBC
DE
01
—
P01033496
MEDIARE RR
DE
Enumeration date
03/25/2010
Last updated
07/23/2015
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