| Bertram Royce Russell Jr, MD | |
|
701 E Marshall St, West Chester, PA 19380-4412 | |
| (610) 431-5132 | |
| (610) 363-9892 |
| Full Name | Bertram Royce Russell Jr |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 701 E Marshall St, West Chester, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386664407 | NPI | - | NPPES |
| 000741496 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD020168E (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bertram Royce Russell Jr, MD 416 Youngsford Ln, Gladwyne, PA 19035-1609 Ph: (610) 658-2244 | Bertram Royce Russell Jr, MD 701 E Marshall St, West Chester, PA 19380-4412 Ph: (610) 431-5132 |
Ann Marie Borofski Siegal, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 East Marshall Street, Chester County Hospital, Radiation Oncology, West Chester, PA 19380 Phone: 610-431-5530 Fax: 610-431-5144 | |
William John Barry, MD Radiology Medicare: Medicare Enrolled Practice Location: 701 East Marshall Street, West Chester, PA 19380 Phone: 610-431-5131 Fax: 215-945-6809 | |
Mable D Jones, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 701 E Marshall St, West Chester, PA 19380 Phone: 610-431-5130 | |
Robert Joseph Shaw, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall St, West Chester, PA 19380 Phone: 610-431-5131 | |
Philip D Bergey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall St, West Chester, PA 19380 Phone: 610-431-5131 | |
Min R. Cheung, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 701 East Marshall Street, West Chester, PA 19380 Phone: 610-431-5530 |