person
Jacquelyn Russo
Children's Hospital in Philadelphia, Pennsylvania
NPI 1093252538

Jacquelyn Russo is a Children's Hospital based in Philadelphia, PA and is specialized in Children. Jacquelyn Russo practices in Philadelphia, PA. The NPI Number for Jacquelyn Russo is 1093252538 and holds a License No. SP016464 (Pennsylvania).

The current practice location address for Jacquelyn Russo is 160 E Erie Ave, Philadelphia, PA and can be reached out via phone at 215-427-5000.

Location: 160 E Erie Ave, Philadelphia, PA, 19145-4606
person
Provider Profile Details
NPI Number
1093252538
Provider Name
Jacquelyn Russo
Credential
Provider Entity Type
Individual
Gender
Female
Address
160 E Erie Ave, Philadelphia, PA, 19145-4606
Phone Number
215-427-5000
Fax Number
Provider Enumeration Date
01/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
160 E Erie Ave
City
State
Zip
19134-1011
Phone Number
215-427-5000
Fax Number
person
Provider Business Mailing Address Details
Address
160 E Erie Ave
City
State
Zip
19134-1011
Phone Number
215-427-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Children
Taxonomy
License No.
SP016464 (Pennsylvania)
Definition
Definition to come...
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