Individual
DR. RUSSELL E. HILLSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3407 WILKENS AVE, SUITE 300, BALTIMORE, MD 21229-5072
(410) 644-5111
(410) 644-2715
Mailing address
3407 WILKENS AVE, SUITE 300, BALTIMORE, MD 21229-5072
(410) 644-5111
(410) 644-2715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D0050533
MD
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
D0050533
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206638600
—
MD
Enumeration date
05/31/2005
Last updated
10/28/2013
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