Individual
RUSSELL P. HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 GRANITE RUN DR STE 350, LANCASTER, PA 17601-6821
(610) 376-1229
(855) 281-4721
Mailing address
9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D89788
MD
208600000X
Surgery Physician
MD472144
PA
208800000X
Urology Physician
D89788
MD
208800000X
Urology Physician
L-247622
MA
208800000X
Urology Physician
Primary
MD472144
PA
Other
Enumeration date
06/10/2011
Last updated
10/20/2021
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