Most Relevant Information
Provider Data
| NPI Number: | 1003802208 |
| Provider Name: | RUSSELL P. SENECA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208600000X |
| Specialty: | Surgery |
| License Number: | 0101019015 |
Most Important Dates
| Enumeration Date: | 09/22/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4001 FAIR RIDGE DR
SUITE 304
FAIRFAX
VA
220332917
Practice Location Phone/Fax
| Phone: | 7033598640 |
| Fax: | 7035916105 |
Provider Mailing Location
4001 FAIR RIDGE DR
SUITE 304
FAIRFAX
VA
220332917
Provider Mailing Phone/Fax
| Phone: | 7033598640 |
| Fax: | 7035916105 |
Suggested EMR
Surgeon EMR