Individual
REBEKAH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2459
Mailing address
9501 EUCLID AVE, CLEVELAND, OH 44106-4711
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MT231775
PA
Other
Enumeration date
01/09/2023
Last updated
06/14/2024
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