Individual
MICHELLE L RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1001 LAUREL OAK RD, SUITE B, ADVOCARE THE FARM PEDIATRICS, VOORHESS, NJ 08043
(856) 782-7400
(856) 782-7404
Mailing address
1001 LAUREL OAK RD, SUITE B, ADVOCARE THE FARM PEDIATRICS, VOORHESS, NJ 08043
(856) 782-7400
(856) 782-7404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB09699000
NJ
Other
Enumeration date
05/31/2012
Last updated
07/09/2015
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