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Bertram Royce Russell JR., MD
Diagnostic Radiology Physician in West Chester, Pennsylvania
NPI 1386664407

Bertram Royce Russell JR. is a Diagnostic Radiology Physician based in Gladwyne, PA and is specialized in Diagnostic Radiology. Bertram Royce Russell JR. practices in West Chester, PA and has the professional credentials of MD. The NPI Number for Bertram Royce Russell JR. is 1386664407 and holds a License No. MD020168E (Pennsylvania).

The current practice location address for Bertram Royce Russell JR. is 701 E Marshall St, West Chester, PA and can be reached out via phone at 610-431-5132 and via fax at 610-363-9892.

Location: 701 E Marshall St, West Chester, PA, 19035-1609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386664407
Provider Name
Bertram Royce Russell JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
701 E Marshall St, West Chester, PA, 19035-1609
Phone Number
610-431-5132
Fax Number
610-363-9892
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000741496 05 PA
institution
Provider Business Practice Location Address Details
Address
701 E Marshall St
City
West Chester
State
Pennsylvania
Zip
19380-4412
Phone Number
610-431-5132
Fax Number
610-363-9892
person
Provider Business Mailing Address Details
Address
701 E Marshall St
City
West Chester
State
Pennsylvania
Zip
19380-4412
Phone Number
610-431-5132
Fax Number
610-363-9892
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD020168E (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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