Individual
JAMES TRUESDALE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5016
Mailing address
533 RIVER RD, WESTPORT, MA 02790-5191
(518) 791-3113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
305292
NY
282N00000X
General Acute Care Hospital
456269350
NY
Other
Enumeration date
03/24/2016
Last updated
11/04/2020
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