Individual
DR. RUSSELL EVAN MORDECAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 MEDICAL CENTER DR, STRATFORD, NJ 08084-1500
(856) 346-6000
Mailing address
1 MEDICAL CENTER DR, STRATFORD, NJ 08084-1500
(856) 566-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB09741200
NJ
207R00000X
Internal Medicine Physician
25MB09741200
NJ
Other
Enumeration date
06/21/2011
Last updated
11/18/2019
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