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Individual

DR. KARL EVERTON RUSSELL-BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 W 9TH ST, PLAINFIELD, NJ 07060-2426
(908) 756-5550
(908) 756-3072
Mailing address
203 W 9TH ST, PLAINFIELD, NJ 07060-2426
(908) 756-5550
(908) 756-3072

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03427000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0966809
NJ
Enumeration date
11/09/2006
Last updated
07/08/2007
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