Jacquelyn Russo
NPI #1093252538 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1093252538
- Entity Type
- Individual
- Name
- Jacquelyn Russo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- General Acute Care Hospital - Children
- Enumeration Date
- Jan 23, 2017
- Last Updated
- Jan 24, 2017
Practice Location
- Address
- 160 E ERIE AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19134-1011
- Phone
- (215) 427-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Children — Children |
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