Organization
NEW JERSEY-PENNSYLVANIA EM-1 MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS MD (AUTHORIZED SIGNATORY)
(800) 247-8060
Entity
Organization
Contact information
Practice address
700 E NORWEGIAN ST, POTTSVILLE, PA 17901-2710
(570) 621-4656
Mailing address
1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
(214) 712-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
03/24/2008
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