Individual
RUSSELL MARWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
(845) 561-4400
(845) 790-2675
Mailing address
2 CATHARINE ST, POUGHKEEPSIE, NY 12601-3100
(866) 885-2318
(845) 790-2675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
187680-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01545308
—
NY
Enumeration date
11/07/2005
Last updated
10/21/2021
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