Individual
DR. KAMAL B RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 SLEEPY HOLLOW DR, NEWTOWN SQUARE, PA 19073
(610) 359-9191
(610) 359-9292
Mailing address
39 SLEEPY HOLLOW DR, NEWTOWN SQUARE, PA 19073-3929
(610) 359-9191
(610) 359-9292
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD025132E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099357302
—
PA
Enumeration date
01/11/2006
Last updated
07/30/2018
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