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Individual

RICHARD B RUSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1050 BOWER HILL RD, SUITE 308, PITTSBURGH, PA 15243-1800
(412) 344-4767
(412) 344-0405
Mailing address
1050 BOWER HILL RD, SUITE 308, PITTSBURGH, PA 15243-1800
(412) 344-4767
(412) 344-0405

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD008156E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000084776
UNISON HEALTH PLAN
05
000734040003
PA
01
059283
HIGHMARK BLUE SHIELD
PA
01
1001032
GATEWAY HEALTH PLAN
01
2061367
AETNA
01
87154
HEALTH AMERICA
Enumeration date
11/14/2005
Last updated
11/07/2007
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