George H Russell in Portland - Pediatric Gastroenterology
George H Russell - NPI 1366423154
George H Russell is a Pediatric Gastroenterology in Portland, Maine. George H Russell practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for George H Russell is 1366423154. The last update date is 2016-08-18.
George H Russell's current location address is 887 Congress St, Portland, Maine. You can contact this provider via phone number 2076625522 and fax number 2076625227. The mailing address for George H Russell is 887 Congress St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George H Russell |
|---|---|
| Address | 887 Congress St, Portland, Maine |
| Phone Number | 2076625522 |
| Fax Number | 2076625227 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366423154 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2016-08-18 |
Provider Mailing Address Detail
| Address | 887 Congress St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41023100 |
| Phone Number | 2076625522 |
| Fax Number | 2076625227 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | 213288 |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 460383 | MA | TUFTS HEALTH PLAN | |
| J24704 | MA | BCBS MA | |
| 192830 | MA | -- |
Post Comment/ Review Below
What is the George H Russell's unique identification number?
The George H Russell has been assigned the NPI (National Provider Identifier) Number 1366423154 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of George H Russell?
The George H Russell is situated at 887 Congress St, in the city of Portland, state of ME, with the zip code 41023100.
What is George H Russell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for George H Russell is Pediatric Gastroenterology, and the corresponding taxonomy classification code for this specialized field is 2080P0206X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366423154 to George H Russell?
The Centers for Medicare & Medicaid Services originally issued the 1366423154 to George H Russell on 2005-11-08.
As of what date were the details related to George H Russell most recently updated or revised?
The information pertaining to George H Russell, including its address, specialty, and other relevant details, was last updated or revised on 2016-08-18.