Russell, W Randall
Russell, W Randall is an individual health care provider with primary practice located at 100 E Lancaster Ave Suite 151 Lankenau Mob East, Wynnewood PA 19096-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Russell, W Randall can be contacted via phone (484) 476-6492.Contact Information
Primary practice address
100 E Lancaster Ave Suite 151 Lankenau Mob East
Wynnewood PA 19096-3450
Phone: (484) 476-6492
Fax: (484) 476-8147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD032388E | Pennsylvania |
Profile Details
| NPI number | 1104823475 |
|---|---|
| LBN Legal business name | Russell, W Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Mar 27th, 2015 - about 9 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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