Anthony Henryk Russell in Boston - Therapeutic Radiology
Anthony Henryk Russell - NPI 1376525014
Anthony Henryk Russell is a Therapeutic Radiology in Boston, Massachusetts. Anthony Henryk Russell practices all healthcare services and medical treatments related to Therapeutic Radiology. The NPI Number for Anthony Henryk Russell is 1376525014. The last update date is 2012-12-04.
Anthony Henryk Russell's current location address is 100 Blossom St, Boston, Massachusetts. You can contact this provider via phone number 6177268650 and fax number 6177263603. The mailing address for Anthony Henryk Russell is 100 Blossom St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Henryk Russell |
|---|---|
| Address | 100 Blossom St, Boston, Massachusetts |
| Phone Number | 6177268650 |
| Fax Number | 6177263603 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376525014 |
|---|---|
| Provider Enumeration Date | 2005-11-17 |
| Last Updated Date | 2012-12-04 |
Provider Mailing Address Detail
| Address | 100 Blossom St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142606 |
| Phone Number | 6177268650 |
| Fax Number | 6177263603 |
Provider's Primary Taxonomy Detail
| Speciality | Therapeutic Radiology |
|---|---|
| Taxonomy | 2085R0203X |
| Licence No | 40275 |
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Definition: A doctor who specializes in using radiation to treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2003937 | MA | -- | |
| J25906 | MA | BCBS MA | |
| 40275 | MA | TUFTS HEALTH PLAN |
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What is the unique identification code assigned to Anthony Henryk Russell by the Centers for Medicare & Medicaid Services?
The Anthony Henryk Russell has been issued the NPI (National Provider Identifier) 1376525014. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Anthony Henryk Russell located?
The Anthony Henryk Russell is located at 100 Blossom St, Boston, MA 21142606.
What is Anthony Henryk Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Anthony Henryk Russell is Therapeutic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0203X.
On what date did the Anthony Henryk Russell receive the assignment of its 1376525014 from the Centers for Medicare & Medicaid Services?
The Anthony Henryk Russell was issued its 1376525014 by the Centers for Medicare & Medicaid Services on 2005-11-17.
As of what date were the details pertaining to Anthony Henryk Russell last refreshed?
The information related to the Anthony Henryk Russell, including its address, specialty, and other relevant details, was last updated on 2012-12-04.