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Contact Information

JORGE BUSTILLO, MD
2494 BERNVILLE ROAD
SUITE 205
READING, PA19605-9469
 Phone: 610-378-2996
 Fax: 610-208-8812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JORGE BUSTILLO · (Male)

NPI Number 1679537435
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 04/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0078545
  • PA License # MD421803
  • MD Medicaid 745419800
  • PA Medicaid 0019586400010
  • PA Other 580344 MEDICARE
Hospital affiliation(s)
  • ST JOSEPH MEDICAL CENTER - (Acute Care)
    2500 BERNVILLE ROAD
    READING, PA 19605
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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