Love, Russ L

Love, Russ L is an individual health care provider with primary practice located at 255 W Lancaster Ave , Paoli PA 19301-1763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Love, Russ L can be contacted via phone (610) 648-1000.

Contact Information

Primary practice address
255 W Lancaster Ave Paoli PA 19301-1763
Phone: (610) 648-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD061341L Pennsylvania

Profile Details

NPI number 1679529721
LBN Legal business name Love, Russ L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1679529721 NPPES
Pennsylvania MEDICAID 0018617480001

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