Individual
DR. RUSSELL JOHN LUKE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2428
(215) 349-5923
Mailing address
3400 CIVIC CENTER BLVD., PCAM-2 WEST, PHILADELPHIA, PA 19104
(215) 662-2428
(215) 615-1658
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
25MA12059700
NJ
2085R0001X
Radiation Oncology Physician
Primary
MD480422
PA
Other
Enumeration date
02/05/2015
Last updated
09/11/2024
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