Lookup NPI Numbers from the NPI Registry
NPI Profile for JACQUELYN RUSSO in PHILADELPHIA, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1093252538 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/23/2017 | |
| Last updated | 01/24/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JACQUELYN RUSSO
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JACQUELYN RUSSO