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Individual
DR. ROBIN RUSSELL
Active
Individual
DR. ROBIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
116127
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00346805
—
NY
01
—
116127
HIP
—
01
—
3399733
GHI
—
01
—
5122389
AETNA
—
01
—
6X6051
BLUE CROSS
—
01
—
GP223
OXFORD
—
Enumeration date
10/23/2006
Last updated
11/20/2009
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