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Contact Information

KAMAL B RUSSELL, MD
39 SLEEPY HOLLOW DR
NEWTOWN SQUARE, PA19073
 Phone: 610-359-9191
 Fax: 610-359-9292
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for KAMAL B RUSSELL · (Male)

NPI # 1124007950
Status Active
Credentials MD
Entity Individual
Enumeration date 01/11/2006
Last updated 07/30/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD025132E
  • PA Medicaid 099357302
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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