Organization
NEW JERSEY-PENNSYLVANIA EM-1 SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS MD (AUTHORIZED SIGNATORY)
(800) 247-8060
Entity
Organization
Contact information
Practice address
16TH STREET & GIRARD AVENUE, PHILADELPHIA, PA 19130
(215) 787-9068
Mailing address
1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
(800) 527-2145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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