IndividualActive
Edward Russell, MD
NPI 1871831271 · Contractor · Rose Valley, PA
Provider details
- NPI number
- 1871831271
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD014589E (PA)
Specialties & taxonomies
Other Service Providers
Practice location
5 Orchard Ln
Rose Valley, PA 19086-6707
Phone: (610) 566-6804
Approximate (ZIP-level) locationGet directions
Mailing address
5 Orchard Ln
Rose Valley, PA 19086-6707
Registry dates
- Enumerated
- 2013-01-21
- Last updated
- 2013-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.