Search › Pennsylvania › 207W00000X
Simon Russin, DO
NPI 1407852049 · on the registry since 2005 · sole proprietor
Practice
- Address
- 301 E City Ave
Suite G2
Bala Cynwyd, PA 19004 - Phone
- (610) 617-4177
- Fax
- (610) 617-4170
- Organisation at this address
- Open Mr Inc.
Medarbor Dme Llc
Roy T Lefkoe Md Pc
Gltt Diagnostics Llc
Urologic Surgery, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-31
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 Pennsylvania