Foo, Russell

Foo, Russell is an individual health care provider with primary practice located at 5501 Old York Rd , Philadelphia PA 19141-3018. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Foo, Russell can be contacted via phone (215) 456-7890.

Contact Information

Primary practice address
5501 Old York Rd Philadelphia PA 19141-3018
Phone: (215) 456-7890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT 182446 Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD434689 Pennsylvania

Profile Details

NPI number 1649482985
LBN Legal business name Foo, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2007
Last updated May 3rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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