Individual
ALEX RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST PH 5-133, NEW YORK, NY 10032-3720
(212) 305-3226
Mailing address
513 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2205
(415) 335-1297
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A194390
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
10/08/2024
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