Individual
DR. JEFFREY B RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.O.G
Contact information
Practice address
4745 OGLETOWN STANTON RD, SUITE 111, NEWARK, DE 19713-2067
(302) 738-4600
(302) 738-3508
Mailing address
4745 OGLETOWN STANTON RD, SUITE 111, NEWARK, DE 19713-2067
(302) 738-4600
(302) 738-3508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C10002852DE
DE
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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