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Individual

RUSSELL MITESH CEREJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212-4756
(412) 359-8850
(412) 359-8878
Mailing address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212-4756
(412) 359-8850
(412) 359-8878

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD462463
PA
2084V0102X
Vascular Neurology Physician
MD462463
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14050329
CAQH
Enumeration date
05/08/2010
Last updated
09/30/2020
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