Carol Mae Russell, DO
NPI #1265580096 in Montclair, New Jersey
Provider Information
- NPI Number
- 1265580096
- Entity Type
- Individual
- Name
- Carol Mae Russell, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Obstetrics & Gynecology
- Credential
- DO
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Feb 20, 2017
Practice Location
- Address
- 1 BAY AVE
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-4837
- Phone
- (973) 429-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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Organizations
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|---|---|
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