Deirdre A Russell PA-C

NPI 1104150788 - Physician Assistant - 363A00000X

NPI Details
NPI 1104150788
Gender Female
Enumeration Date 09/29/2009
Last Updated 11/03/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
1250 S CEDAR CREST BLVD
SUITE 110
ALLENTOWN PA, 18103-6224, US
Phone (610) 435-1003
Fax (610) 435-3184
Business Location
1250 S CEDAR CREST BLVD
SUITE 110
ALLENTOWN PA, 18103-6224, US
Phone (610) 435-1003
Fax (610) 435-3184
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number TMA052143
Remove 1104150788 NPI Number
 

According to our database, Deirdre A Russell PA-C NPI is 1104150788, taxonomy code is 363A00000X and license number is TMA052143, license state is located at Pennsylvania. Deirdre A Russell PA-C physically located at 1250 S Cedar Crest Blvd, Allentown PA, 18103-6224. NPI Number Deirdre A Russell PA-C has the Individual type.

Sponsored links

1104150788 NPI number is provided on an as is basis without warranty of any kind. 1104150788 is maintained by the National Plan & Provider Enumeration System. The contents of Deirdre A Russell PA-C are for informational purposes only.