Stanley Joseph Russin M.D.

NPI 1003880360 - Internal Medicine - 207R00000X

NPI Details
NPI 1003880360
Gender Male
Enumeration Date 02/14/2006
Last Updated 11/28/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
736 BLUE HERON DR
ALLENTOWN PA, 18103-4973, US
Phone (610) 295-8560
Fax
Business Location
736 BLUE HERON DR
ALLENTOWN PA, 18103-4973, US
Phone (610) 295-8560
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD031740E
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According to our database, Dr. Stanley Joseph Russin M.D. NPI is 1003880360, taxonomy code is 207R00000X and license number is MD031740E, license state is located at Pennsylvania. Stanley Joseph Russin M.D. physically located at 736 Blue Heron Dr, Allentown PA, 18103-4973. NPI Number Stanley Joseph Russin M.D. has the Individual type.

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1003880360 NPI number is provided on an as is basis without warranty of any kind. 1003880360 is maintained by the National Plan & Provider Enumeration System. The contents of Stanley Joseph Russin M.D. are for informational purposes only.