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1023376274
DAVIS RUSSAL SAMUEL
EAST MEADOW, NY
NPI
1023376274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: PA OS019189)
Enumeration Date
2012-04-25
Last Update Date
2019-09-25
Business Address
Dr. DAVIS RUSSAL SAMUEL D.O.
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-0123
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Mailing Address
Dr. DAVIS RUSSAL SAMUEL D.O.
8902 BLOOMFIELD PL
PHILADELPHIA, PA 19115-4506
Phone number: 267-879-0970
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