Individual
SYBIL A RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 ORLEANS ST, ROOM 9411, BALTIMORE, MD 21287-0010
(808) 780-5430
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D67183
MD
208000000X
Pediatrics Physician
ME97556
FL
2080P0208X
Pediatric Infectious Diseases Physician
ME97556
FL
208M00000X
Hospitalist Physician
ME97556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277532800
—
FL
05
—
559079745A
—
GA
05
—
559079745B
—
GA
Enumeration date
02/14/2007
Last updated
04/22/2025
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