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1366951394
MATTHEW CASSADY RUSSELL
NEW YORK, NY
NPI
1366951394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 021305)
Enumeration Date
2017-09-21
Last Update Date
2017-09-21
Business Address
MATTHEW CASSADY RUSSELL PA
3 E 101ST ST
NEW YORK, NY 10029-6528
Phone number: 212-241-6500
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Mailing Address
MATTHEW CASSADY RUSSELL PA
39 EASTMOOR DR
ASHEVILLE, NC 28805-9211
Phone number: 828-545-9101
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