RUSSELL JOHN LUKE MAXWELL

PHILADELPHIA, PA
NPI1649661190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: PA  MD480422)
Additional Taxonomies2085R0001X 
(Licence: NJ  25MA12059700)
Enumeration Date2015-02-05
Last Update Date2024-09-11
Business Address
Dr. RUSSELL JOHN LUKE MAXWELL MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-2428
Mailing Address
Dr. RUSSELL JOHN LUKE MAXWELL MD
3400 CIVIC CENTER BLVD. PCAM-2 WEST
PHILADELPHIA, PA 19104
Phone number: 215-662-2428
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