DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SIMON R RUSSIN, DO

Active Sole Proprietor

Ophthalmology · BALA CYNWYD, PA

Registration Details

NPI Number
1407852049
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2005 (20.835569417275 yrs)
Last Updated
May 31, 2011
License
OS009908L (PA)
Sole Proprietor
Yes

Practice Information

Address
301 E CITY AVE
SUITE G2
BALA CYNWYD, PA, 190041708
Browse PA providers · Browse ZIP 19004
Phone
6106174177
Fax
6106174170
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in BALA CYNWYD, PA

Name Credential NPI
VIPIN K GOYAL MD 1881690451
BRANDON DANIEL AYRES MD 1710985460
CAROLYN GLAZER-HOCKSTEIN MD 1881694156
DR. DAVID H FISCHER MD 1033102298
DR. HERBERT J NEVYAS M.D.. 1548244072
DR. ANITA NEVYAS-WALLACE M.D. 1699759191
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.