Individual
ANTONIO BUENDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 N 11TH ST, SUNBURY, PA 17801-1611
(570) 286-3472
(570) 286-3397
Mailing address
PO BOX 1645, MORGANTOWN, WV 26507-1645
(304) 598-2291
(304) 598-2293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD030587E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009884480002
—
PA
05
—
0009884480004
—
PA
05
—
0009884480007
—
PA
01
—
4433688
BLUE SHIELD
PA
Enumeration date
11/15/2005
Last updated
02/28/2011
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