Dr. Eric Marc Russell
Internist Rheumatology
100 E Lancaster Ave
Wynnewood
, Pennsylvania 19096-3450
Dr. Eric Marc Russell
Internist Rheumatology
100 E Lancaster Ave
Wynnewood
, Pennsylvania 19096-3450
(215) 459-0222
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About
Features
Specialties
- Internist
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Eric Marc Russell
- 211 S Orange St Apt. B
- Media, PA
- Zip : 19063-3110
- Phone : (215) 459-0222
Second Address
- Dr. Eric Marc Russell
- 100 E Lancaster Ave
- Wynnewood, PA
- Zip : 19096-3450
- Phone : (610) 645-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | OT011972 | PA |
| N | 111NI0900X | Internist | OT011972 | PA |
| Y | 207RR0500X | Rheumatology | C2-0010067 | DE |
National Provider Identifier
| NPI | 1013243401 |
|---|---|
| Provider Name | Dr. Eric Marc Russell |
| First Address | Media, PA 19063-3110 |
| Second Address | Wynnewood, PA 19096-3450 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/10/2009 |
| Last Update Date | 30/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.