Most Relevant Information
Provider Data
| NPI Number: | 1003640095 |
| Provider Name: | AKIM RUSSELL M.ED |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2024 |
| Last Updated: | 08/30/2024 |
Provider Practice Location
5134 FOLSOM ST
PHILADELPHIA
PA
191391528
Practice Location Phone/Fax
| Phone: | 2673349461 |
| Fax: |
Provider Mailing Location
5134 FOLSOM ST
PHILADELPHIA
PA
191391528
Provider Mailing Phone/Fax
| Phone: | 2673349461 |
| Fax: |