Individual
DR. DAVIS RUSSAL SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-0123
Mailing address
8902 BLOOMFIELD PL, PHILADELPHIA, PA 19115-4506
(267) 879-0970
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS019189
PA
Other
Enumeration date
04/25/2012
Last updated
09/25/2019
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