Individual
DR. BRYAN C RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
651 ROUTE 73 N STE 304, MARLTON, NJ 08053-3446
(856) 983-4499
(856) 983-0435
Mailing address
651 ROUTE 73 N STE 304, MARLTON, NJ 08053-3446
(856) 983-4499
(856) 983-0435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC04977
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0741915000
AMERIHEALTH
NJ
01
—
1874679
UNITED HEALTHCARE
NJ
01
—
5257680
AETNA
NJ
01
—
5716020
MULTIPLAN
NJ
01
—
662068
ACN
NJ
01
—
P2039337
OXFORD
NJ
Enumeration date
06/15/2005
Last updated
12/28/2023
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