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Contact Information

MARY LOU BUENDIA, MD
2 E SUNBURY ST
SHAMOKIN, PA17872-4881
 Phone: 570-644-0893
 Fax: 570-644-0894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MARY LOU BUENDIA · (Female)

NPI Number 1942260062
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 02/02/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD030688E
  • PA Medicaid 0009395140002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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