Individual
DR. RUSSELL BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER, PHILADELPHIA, PA 19141
(215) 456-7890
Mailing address
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER, PHILADELPHIA, PA 19141
(215) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006599
PA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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