Individual
JAMES E RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2ND FLOOR, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 349-8144
Mailing address
3400 CIVIC CENTER BLVD, 2ND FLOOR, PHILADELPHIA, PA 19104-5127
(215) 615-5858
(215) 349-8144
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD035258E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016719210001
—
PA
Enumeration date
06/14/2006
Last updated
02/01/2016
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