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William Russell Md Pa
Rehabilitation Practitioner in Cumberland, Maryland
NPI 1669704508

William Russell Md Pa is a Rehabilitation Practitioner based in Cumberland, MD. William Russell Md Pa practices in Cumberland, MD. The NPI Number for William Russell Md Pa is 1669704508 and holds a License No. D0050636 (Maryland).

The current practice location address for William Russell Md Pa is 600 Virginia Ave Ste 2, Cumberland, MD and can be reached out via phone at 301-723-4380 and via fax at 301-723-4812.

Location: 600 Virginia Ave Ste 2, Cumberland, MD, 21502-4551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669704508
Provider Name
William Russell Md Pa
Credential
Provider Entity Type
Organization
Address
600 Virginia Ave Ste 2, Cumberland, MD, 21502-4551
Phone Number
301-723-4380
Fax Number
301-723-4812
Provider Enumeration Date
02/03/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407824956 01 NPI #1
institution
Provider Business Practice Location Address Details
Address
600 Virginia Ave Ste 2
City
Cumberland
State
Maryland
Zip
21502-4551
Phone Number
301-723-4380
Fax Number
301-723-4812
person
Provider Business Mailing Address Details
Address
600 Virginia Ave Ste 2
City
Cumberland
State
Maryland
Zip
21502-4551
Phone Number
301-723-4380
Fax Number
301-723-4812
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
D0050636 (Maryland)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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