Individual
DR. J RUSSELL NORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 DATES DRIVE, ITHACA, NY 14850-0001
(607) 274-4011
Mailing address
PO BOX 366, 202 TAUGHANNOCK BLVD, ITHACA, NY 14851-0001
(607) 277-4035
(607) 277-3888
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
211785
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025561501
UNIVERA
NY
01
—
000918689001
BS WNY/HEALTHNOW
NY
05
—
00372225
—
NY
05
—
02173191
—
NY
01
—
050080581
RAILROAD MEDICARE
NY
01
—
2222
BLUE SHIELD GROUP
NY
01
—
5399002
GHI
NY
01
—
7022228
AETNA
NY
01
—
G0189393590
BLUE CHOICE GROUP
NY
01
—
MDG269
PREFERRED CARE
NY
01
—
P101211785
BLUE CHOICE
NY
Enumeration date
07/18/2006
Last updated
09/25/2008
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