Organization
E RUSSELL FORD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT RUSSELL FORD MD (PRESIDENT)
(302) 633-1380
Entity
Organization
Contact information
Practice address
620 STANTON CHRISTIANA RD, SUITE 206, NEWARK, DE 19713-2133
(302) 633-1380
(302) 633-1036
Mailing address
620 STANTON CHRISTIANA RD, SUITE 206, NEWARK, DE 19713-2133
(302) 633-1380
(302) 633-1036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0004616
DE
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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