Individual
DR. JAMES RYAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 CHARTER DR STE 130, COLUMBIA, MD 21044-3258
(410) 772-7000
(410) 772-7072
Mailing address
10710 CHARTER DR STE 130, COLUMBIA, MD 21044-3258
(410) 772-7000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25MA12135100
NJ
208800000X
Urology Physician
Primary
D0102480
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
09/04/2025
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