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Individual

JAMES W RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16 S EUTAW ST, FRENKIL BLDG. 3RD FL., BALTIMORE, MD 21201-1606
(410) 328-4323
(410) 328-1149
Mailing address
16 S EUTAW ST, FRENKIL BLDG. 3RD FL., BALTIMORE, MD 21201-1606
(410) 328-4323
(410) 328-1149

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0065015
MD
2084N0600X
Clinical Neurophysiology Physician
D0065015
MD

Other

Enumeration date
10/17/2006
Last updated
03/15/2012
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