Provider Demographics
NPI:1508905936
Name:DOWN, RUSSELL J (MD)
Entity Type:Individual
Prefix:DR
First Name:RUSSELL
Middle Name:J
Last Name:DOWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:POB 156
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-0156
Mailing Address - Country:US
Mailing Address - Phone:609-465-7559
Mailing Address - Fax:609-770-2561
Practice Address - Street 1:105 HOLMES LANDING AV
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-0156
Practice Address - Country:US
Practice Address - Phone:609-465-7559
Practice Address - Fax:609-770-2561
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ19369208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
D19787Medicare UPIN