Individual
RUSSELL L HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 OAK AVE, TOMS RIVER, NJ 08753-3348
(732) 914-1919
(732) 341-3303
Mailing address
222 OAK AVE, TOMS RIVER, NJ 08753-3348
(732) 914-1919
(732) 341-3303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05246400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010052464NJ01
ST BARNABAS HEALTH
NJ
01
—
0253384000
AMERIHEALTH NJ
NJ
01
—
157866
AMERIHEALTH ADMIN
NJ
05
—
3910903
—
NJ
01
—
6308084
CIGNA COMED
NJ
01
—
6308084004
CIGNA HMO
NJ
01
—
F02903
HEALTH NET PHS
NJ
01
—
VP037
OXFORD
NJ
Enumeration date
06/19/2006
Last updated
07/08/2007
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