Elizabeth B Russell is a Medical in Boston, Massachusetts. Elizabeth B Russell practices all healthcare services and medical treatments related to Medical. The NPI Number for Elizabeth B Russell is 1457426702. The last update date is 2018-06-05.
Elizabeth B Russell's current location address is 450 Brookline Ave, Boston, Massachusetts. You can contact this provider via phone number 4047356905. The mailing address for Elizabeth B Russell is 450 Brookline Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth B Russell |
|---|---|
| Address | 450 Brookline Ave, Boston, Massachusetts |
| Phone Number | 4047356905 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1457426702 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2018-06-05 |
Provider Mailing Address Detail
| Address | 450 Brookline Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 22155450 |
| Phone Number | 4047356905 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 4709 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 163604725B | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Elizabeth B Russell by the Centers for Medicare & Medicaid Services?
The Elizabeth B Russell has been assigned the NPI (National Provider Identifier) 1457426702. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Elizabeth B Russell is physically located?
The Elizabeth B Russell is physically situated at the following address: 450 Brookline Ave, Boston, MA, 22155450.
What is Elizabeth B Russell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elizabeth B Russell is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
When was the Elizabeth B Russell's 1457426702 issued?
The Elizabeth B Russell's 1457426702 was issued on 2006-11-22.
When was the Elizabeth B Russell's information last updated?
The Elizabeth B Russell's information was last updated on 2018-06-05.