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Contact Information

RIZALITO ADVINCULA, MD
1001 PINE ST
BUCKTAIL MEDICAL CENTER
RENOVO, PA17764-1618
 Phone: 570-923-1000
 Fax: 570-923-0835
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RIZALITO ADVINCULA · (Male)

NPI Number 1003893272
Status Active
Credentials MD
Entity Individual
Enumeration date 12/28/2005
Last updated 07/11/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # AD108434
  • PA Other AD108434 LICENSE #
  • PA Other MDD432445L LICENSE #
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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