Individual
DR. JOCELYN TUGAOEN RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5001 ROCKSIDE RD, INDEPENDENCE, OH 44131-2172
(216) 986-4000
(216) 986-4933
Mailing address
9140 LEDGEMONT DR, BROADVIEW HEIGHTS, OH 44147-4027
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.085996
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.085996
LICENSE NUMBER
OH
Enumeration date
07/19/2006
Last updated
07/08/2007
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