Jeffrey Russell, PA-C

NPI 1518394204 · on the registry since 2013

Practice

Address: 900 Caton Ave
Baltimore, MD 21229
Phone: (410) 368-2000
Organisation at this address: Cep America Llc
St. Agnes Hospital
St. Agnes Hospital
St. Agnes Healthcare
Saint Agnes Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 171

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-09-26

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