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Organization
JOSEPH L RUSSINO MD, LLC
Active
Organization
JOSEPH L RUSSINO MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH L RUSSINO M.D. (OWNER/PHYSICIAN)
(484) 383-8118
Entity
Organization
Contact information
Practice address
462 E KING RD, MALVERN, PA 19355-3267
(484) 383-8118
(484) 383-8119
Mailing address
462 E KING RD, MALVERN, PA 19355-3267
(484) 383-8118
(484) 383-8119
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MD027472E
PA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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