Jacquelyn Russo
Jacquelyn Russo is a Children's Hospital in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2017
Practice location Address checks out
160 E Erie AvePhiladelphia, PA 19134-1011
Phone: (215) 427-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Children's Hospital (primary) | Taxonomy 282NC2000X · Licence SP016464 (PA) |
|---|
Record details
| NPI number | 1093252538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 23, 2017 |
| Last updated in NPPES | January 24, 2017 |
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