Individual
DR. ROBERT LINK RUNDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 ROSE ST, JOHNSTOWN, PA 15905-4327
(814) 539-0257
(814) 536-0963
Mailing address
16 ROSE ST, JOHNSTOWN, PA 15905-4327
(814) 539-0257
(814) 536-0963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
038167E
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
038167E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010835360004
—
PA
01
—
1025247
GATEWAY PROVIDER ID NUMBE
PA
01
—
1360107
UMWA PROVIDER ID NO
PA
01
—
250001342
TRAVELERS MEDICARE
PA
01
—
78619
UNISON MEDPLUS ID NO
PA
01
—
P025109
CHAMPUS ID NO.
PA
Enumeration date
06/09/2006
Last updated
08/24/2020
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