# WILLIAM RUSSELL MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669704508
- **Authorized official:** DR. WILLIAM RUSSELL M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (301) 723-4380

## Contact information

- **Practice address:** 600 VIRGINIA AVE STE 2, CUMBERLAND, MD 21502-4551
- **Practice address phone:** (301) 723-4380
- **Practice address fax:** (301) 723-4812
- **Mailing address:** 600 VIRGINIA AVE STE 2, PO BOX 1726, CUMBERLAND, MD 21502-4551
- **Mailing address phone:** (301) 723-4380
- **Mailing address fax:** (301) 723-4812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | D0050636 | MD | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 02/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1407824956 | NPI \#1 | — |