person
Dr. Anthony Henryk Russell, MD
Therapeutic Radiology Physician in Boston, Massachusetts
NPI 1376525014

Anthony Henryk Russell is a Therapeutic Radiology Physician based in Charlestown, MA and is specialized in Therapeutic Radiology. Anthony Henryk Russell practices in Boston, MA and has the professional credentials of MD. The NPI Number for Anthony Henryk Russell is 1376525014 and holds a License No. 40275 (Massachusetts).

The current practice location address for Anthony Henryk Russell is 100 Blossom St, Boston, MA and can be reached out via phone at 617-726-8650 and via fax at 617-726-3603.

Location: 100 Blossom St, Boston, MA, 02129-9142
person
Provider Profile Details
NPI Number
1376525014
Provider Name
Anthony Henryk Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Blossom St, Boston, MA, 02129-9142
Phone Number
617-726-8650
Fax Number
617-726-3603
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2003937 05 MA
J25906 01 MA BCBS MA
040275 01 MA TUFTS HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
100 Blossom St
City
State
Zip
02114-2606
Phone Number
617-726-8650
Fax Number
617-726-3603
person
Provider Business Mailing Address Details
Address
100 Blossom St
City
State
Zip
02114-2606
Phone Number
617-726-8650
Fax Number
617-726-3603
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
License No.
40275 (Massachusetts)
Definition
Definition to come...
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