E Russell Ford MD PA

NPI #1154463206 in Newark, Delaware

Provider Information

NPI Number: 1154463206
Entity Type: Organization
Organization Name: E Russell Ford MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Feb 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 620 STANTON CHRISTIANA RD
Address 2: SUITE 206
City: Newark
State: Delaware
ZIP Code: 19713-2133
Phone: (302) 633-1380

Authorized Official

Name: EVERETT RUSSELL FORD, MD
Title: PRESIDENT
Phone: (302) 633-1380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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