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Jonathon Russell, MD
NPI 1205148707 · on the registry since 2010
Practice
- Address
- 7226 Lee Deforest Dr Ste 204
Columbia, MD 21046 - Phone
- (443) 333-5233
- Fax
- (443) 333-5232
- Organisation at this address
- Shadi Ghozati D.D.S. Pa
Bridge Surgical Arts Corp
Privia Medical Group, Llc
Gateway Medical Practice Llc
Autism Center Of Excellence LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Otolaryngology Physician
207Y00000X
- Also registered as
- Otolaryngology Physician
- Licence states on file
- MD, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland