Individual
VINCENT ROBERT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1848
(302) 733-1633
Mailing address
504 FRIENDS WAY, BOOTHWYN, PA 19061
(757) 619-7016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001166
DE
363AM0700X
Medical Physician Assistant
C5-0001166
DE
363AS0400X
Surgical Physician Assistant
C5-0001166
DE
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us