Individual
REBECCA JEAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1401 FOULK RD STE 100B, WILMINGTON, DE 19803-2764
(302) 477-3300
(302) 477-3311
Mailing address
1401 FOULK RD STE 100B, WILMINGTON, DE 19803-2764
(302) 477-3300
(302) 477-3311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C1-0024830
DE
Other
Enumeration date
03/18/2019
Last updated
03/11/2024
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