Russell Amundson MD

NPI 1609816354 - Neurological Surgery - 207T00000X

NPI Details
NPI 1609816354
Gender Male
Enumeration Date 06/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5401 OLD YORK RD
SUITE 501
PHILA PA, 19141-3030, US
Phone (215) 456-6127
Fax
Business Location
101 E OLNEY AVE
SUITE 505
PHILA PA, 19120-2421, US
Phone (215) 456-7000
Fax (215) 254-2599
Toxanomy
Taxonomy Code 207T00000X
License State Pennsylvania
License Number MD428933
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According to our database, Russell Amundson MD NPI is 1609816354, taxonomy code is 207T00000X and license number is MD428933, license state is located at Pennsylvania. Russell Amundson MD physically located at 5401 Old York Rd, Phila PA, 19141-3030. NPI Number Russell Amundson MD has the Individual type.

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1609816354 NPI number is provided on an as is basis without warranty of any kind. 1609816354 is maintained by the National Plan & Provider Enumeration System. The contents of Russell Amundson MD are for informational purposes only.