Russell J Hibler


Address: 857 Park Ave, Baltimore, MD 21201-4800

Russell J Hibler (NPI# 1700842903, PAC ID# 0547345324) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1700842903
PAC ID by PECOS 0547345324
Professional Enrollment ID I20080305000061
Full Name Russell J Hibler
Address 857 Park Ave
Baltimore
MD 21201-4800
Gender M
Graduation Year 1975
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
857 Park Ave, Baltimore, MD 21201-4800
857 Park Ave, Baltimore, MD 21201-4800 4102925711 THE PARK AVENUE GROUP LLC
7920 Mcdonogh Rd, Suite 201, Owings Mills, MD 21117-5323 4105712946 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC
2960 Technology Pl, Suite 103, Waldorf, MD 20601-4968 4105712946 ADVANCED PAIN MANAGEMENT SPECIALISTS LLC
7131 Ambassador Rd, Suite 150, Windsor Mill, MD 21244-2708

Organization Information

Office Location

Street Address 857 PARK AVE
City BALTIMORE
State MD
Zip 21201-4800

Physicians in the same location

Name Specialty Organization Address
Karyn Ann Harvey Psychologist, Clinical The Park Avenue Group LLC 857 Park Ave, Baltimore, MD 21201-4800

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Competitor

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City BALTIMORE
Zip Code 21201
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty BALTIMORE + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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