DR. Edward Rose Russell, MD

NPI #1871831271 in Rose Valley, Pennsylvania

Provider Information

NPI Number: 1871831271
Entity Type: Individual
Name: DR. Edward Rose Russell, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: MD
Enumeration Date: Jan 21, 2013
Last Updated: Jan 21, 2013

Practice Location

Address: 5 ORCHARD LN
City: Rose Valley
State: Pennsylvania
ZIP Code: 19086-6707
Phone: (610) 566-6804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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