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Dr. Russell John Luke Maxwell, MD
Radiation Oncology Physician in Philadelphia, Pennsylvania
NPI 1649661190

Russell John Luke Maxwell is a Radiation Oncology Physician based in Philadelphia, PA and is specialized in Radiation Oncology. Russell John Luke Maxwell practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Russell John Luke Maxwell is 1649661190 and holds a License No. 36632209 (Pennsylvania).

The current practice location address for Russell John Luke Maxwell is 3400 Civic Center Blvd., Philadelphia, PA and can be reached out via phone at 215-662-2428 and via fax at 215-615-1658.

Location: 3400 Civic Center Blvd., Philadelphia, PA, 19104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649661190
Provider Name
Russell John Luke Maxwell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Civic Center Blvd., Philadelphia, PA, 19104
Phone Number
215-662-2428
Fax Number
215-615-1658
Provider Enumeration Date
02/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd.
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-662-2428
Fax Number
215-615-1658
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd.
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-662-2428
Fax Number
215-615-1658
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
MD480422 (Pennsylvania)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
36632209 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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