Individual
DR. RUSSELL JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201
(570) 501-4193
(570) 501-4109
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD040603L
PA
207P00000X
Emergency Medicine Physician
MD18268
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012112600007
—
PA
05
—
1780659144
—
ME
Enumeration date
02/21/2006
Last updated
08/12/2019
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