Individual
DR. PAUL J RUSSINKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2106 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601-2644
(717) 393-1771
(717) 393-2782
Mailing address
PO BOX 3200, LANCASTER, PA 17604-3200
(717) 393-1771
(717) 393-2782
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD426210
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101268847/0001
—
PA
Enumeration date
04/10/2006
Last updated
08/21/2007
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