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Individual

DR. RUSSELL J SCHILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216
(215) 955-8874
(215) 955-2340
Mailing address
925 CHESTNUT ST, SUITE 320A, PHILADELPHIA, PA 19107-4216

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD032498E
PA
207RX0202X
Medical Oncology Physician
Primary
MD032498E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001149656
PA
05
4559304
NJ
Enumeration date
07/24/2006
Last updated
11/18/2014
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