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Individual

DR. MAUREEN M RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 OHIO RIVER BLVD STE 301, SEWICKLEY, PA 15143-1300
(412) 741-6530
(412) 741-9274
Mailing address
301 OHIO RIVER BLVD STE 301, SEWICKLEY, PA 15143-1300
(412) 741-6530
(412) 741-9274

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD059426L
PA
207V00000X
Obstetrics & Gynecology Physician
MD059428L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015932440003
PA
01
103987
UPMC NUMBER
PA
01
PA STATE LICENSE
MD059428L
PA
01
RU882557
BLUE SHIELD ID NUBMER
PA
Enumeration date
02/15/2007
Last updated
08/03/2022
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