Gregory D Russell, MD
Internal Medicine, Cardiovascular Disease in North Dartmouth, Massachusetts
1053365163- Practice location
- 49 State RD, North Dartmouth, MA 02747-3322
- Phone
- 508-973-6650
- Fax
- 508-973-0345
- Last updated
- April 24, 2020
Gregory D. Russell is an Internal Medicine, Cardiovascular Disease based in North Dartmouth, MA. Gregory D. Russell practices in North Dartmouth, MA and has the professional credentials of MD. The NPI Number for Gregory D. Russell is 1053365163 and holds a License No. 150866 (MA). The current practice location address for Gregory D. Russell is 49 State RD, North Dartmouth, MA 02747-3322 and can be reached out via phone at 508-973-6650 and via fax at 508-973-0345.
Provider Profile Details
- NPI Number
- 1053365163
- Provider Name
- Gregory D. Russell
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 49 State RD, North Dartmouth, MA 02747-3322
- Phone Number
- 508-973-6650
- Fax Number
- 508-973-0345
- Primary Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 22, 2006
- Last Update Date
- April 24, 2020
- Certification Date
- April 24, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 State RD
North Dartmouth, MA 02747-3322 - City
- North Dartmouth
- State
- Massachusetts
- Zip
- 02747-3322
- Phone Number
- 508-973-6650
- Fax Number
- 508-973-0345
Provider Business Mailing Address Details
- Address
- 200 Mill RD
Suite 180
Fairhaven, MA 02719-5252 - City
- Fairhaven
- State
- MA
- Zip
- 02719-5252
- Phone Number
- 508-973-2000
- Fax Number
- 508-973-2002
License Information
- License Number
- 150866
- License State
- MA
- Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gregory D Russell, MD?
The NPI number of Gregory D Russell, MD is 1053365163. It was assigned on May 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Gregory D Russell, MD?
Gregory D Russell, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in MA under license number 150866.
Where does Gregory D Russell, MD practice?
The practice location is 49 State RD, North Dartmouth, MA 02747-3322. The office can be reached at 508-973-6650 (phone) or 508-973-0345 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053365163 directly on the NPPES registry website.