JACQUELYN RUSSO

General Acute Care Hospital - Children

Active Individual
NPI: 1093252538

Practice Address

160 E ERIE AVE
Philadelphia, PA 19134

Phone: (215) 427-5000

Specialties

Specialty Code Primary License
General Acute Care Hospital - Children 282NC2000X Yes SP016464 (PA)

Frequently Asked Questions

NPI 1093252538 is the National Provider Identifier for JACQUELYN RUSSO, a General Acute Care Hospital - Children provider located in Philadelphia, PA. This NPI was enumerated on January 23, 2017.
JACQUELYN RUSSO practices at 160 E ERIE AVE, Philadelphia, PA 19134.

Quick Facts

NPI
1093252538
Type
Individual
Enumerated
Jan 23, 2017
Last Updated
Jan 24, 2017

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