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Organization

PAOLI OB/GYN ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH L RUSSINO M.D. (PRESIDENT)
(610) 896-7550
Entity
Organization

Contact information

Practice address
100 E LANCASTER AVE STE 660, LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 896-7550
(610) 896-7914
Mailing address
100 E LANCASTER AVE STE 660, LANKENAU MEDICAL BUILDING EAST, WYNNEWOOD, PA 19096-3450
(610) 896-7550
(610) 896-7914

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0661441000
INDEPENDENCE BLUE CROSS
PA
01
504367
AETNA
PA
01
51756
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/27/2006
Last updated
12/01/2010
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