| Doctor Name: | TROY BUFFENMYER |
| NPI Number: | 1073909743 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PA115274 |
| Business Practice Address: | 7 Breezy Knoll Rd Willow Street, PA - 175849340 |
| Business Phone Number: | 7175177194 |
| Business Fax Number: | |
| Mailing Address: | 7 Breezy Knoll Rd, WILLOW STREET |
| State: | PA |
| Postal Code: | 175849340 |
| Phone Number: | 7175177194 |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2015 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | PA115274 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |