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Organization

SETON EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSELL HARRIS MD (PRESIDENT/GENERAL PARTNER)
(800) 247-8060
Entity
Organization

Contact information

Practice address
600 JEFFERSON AVE, JEANNETTE, PA 15644-2505
(724) 527-3551
(724) 527-9370
Mailing address
100 WITMER RD, SUITE 220, HORSHAM, PA 19044-2211
(800) 247-8060

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012790720001
PA
01
1737800
BLUE SHIELD
PA
Enumeration date
05/09/2006
Last updated
04/20/2008
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