Individual provider · Type 1 NPI

Bertram Royce Russell Jr., MD

Diagnostic Radiology Physician · West Chester, PA

NPI number 1386664407 Active

Practice location

701 E Marshall St
West Chester, PA 19380-4412

Call (610) 431-5132 Map

Fax (610) 363-9892

Mailing address

416 Youngsford Ln
Gladwyne, PA 19035-1609

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD020168E (PA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1386664407

Bertram Royce Russell Jr., MD's National Provider Identifier is 1386664407, issued on Jul 20, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in West Chester, PA. The record was last updated on Dec 10, 2008.