David Thomas Russell, D.O.

Internal Medicine Physician · Pine Grove, PA

Individual Active NPI

NPI number 1285097592

Practice location

121 N Tulpehocken St
Pine Grove, PA 17963-1217
Phone
(570) 345-2345

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NPI record

NPI
1285097592
Entity type
Individual (Type 1)
Enumeration date
April 4, 2016
Last updated
August 23, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X OS019805 PA

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone
(484) 884-4500
Fax
(484) 884-0699

About Dr. Russell

David Thomas Russell, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 121 N Tulpehocken St, Pine Grove, PA 17963-1217. The NPI number 1285097592 was assigned on April 4, 2016 and the record was last updated on August 23, 2019.

Dr. Russell lists a license in the registry: #OS019805 (PA) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Thomas Russell, D.O.?

The NPI number is 1285097592.

What is the phone number of Dr. Russell?

The phone number listed for the practice location is (570) 345-2345.

Where is Dr. Russell located?

121 N Tulpehocken St, Pine Grove, PA 17963-1217.

What is the taxonomy code for Dr. Russell?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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