Individual
JOSEPHINE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1307 WHITE HORSE RD UNIT 500, VOORHEES, NJ 08043-2176
(856) 628-3400
Mailing address
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141-3098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03104600
NJ
122300000X
Dentist
DS045205
PA
Other
Enumeration date
06/24/2024
Last updated
06/30/2025
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