Russell, Steven R
Russell, Steven R is an individual health care provider with primary practice located at 1503 Lansdowne Ave Ste 2000 , Darby PA 19023-1330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Russell, Steven R can be contacted via phone (610) 237-2529.Contact Information
Primary practice address
1503 Lansdowne Ave Ste 2000
Darby PA 19023-1330
Phone: (610) 237-2529
Fax: (610) 237-4261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD064395L | Pennsylvania |
Profile Details
| NPI number | 1982602876 |
|---|---|
| LBN Legal business name | Russell, Steven R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Apr 27th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982602876 | NPPES |
| Pennsylvania | MEDICAID | 0017331200001 |
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