Individual
DR. JOHN RUSSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2734 POLK ST, HOLLYWOOD, FL 33020-4832
(954) 437-2000
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-7665
(607) 547-7662
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
139224
NY
Other
Enumeration date
03/29/2007
Last updated
01/09/2023
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