Ault, Russell Clay
Ault, Russell Clay is an individual health care provider with primary practice located at 3401 Civic Center Blvd Division Of General Pediatrics, Philadelphia PA 19104-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ault, Russell Clay can be contacted via phone (215) 590-1220.Contact Information
Primary practice address
3401 Civic Center Blvd Division Of General Pediatrics
Philadelphia PA 19104-4319
Phone: (215) 590-1220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MT225185 | Pennsylvania |
Profile Details
| NPI number | 1336887488 |
|---|---|
| LBN Legal business name | Ault, Russell Clay |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2022 |
| Last updated | May 26th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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