person
Russell W Cournoyer JR., DPM
Foot & Ankle Surgery Podiatrist in Worcester, Massachusetts
NPI 1427030378

Russell W Cournoyer JR. is a Foot & Ankle Surgery Podiatrist based in Worcester, MA and is specialized in Foot & Ankle Surgery. Russell W Cournoyer JR. practices in Worcester, MA and has the professional credentials of DPM. The NPI Number for Russell W Cournoyer JR. is 1427030378 and holds a License No. 1767 (Massachusetts).

The current practice location address for Russell W Cournoyer JR. is 5 Neponset St, Worcester, MA and can be reached out via phone at 508-856-9181 and via fax at 508-425-6177.

Location: 5 Neponset St, Worcester, MA, 01606-2714
person
Provider Profile Details
NPI Number
1427030378
Provider Name
Russell W Cournoyer JR.
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5 Neponset St, Worcester, MA, 01606-2714
Phone Number
508-856-9181
Fax Number
508-425-6177
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042472266 01 PRIVATE HEALTHCARE SYSTEM
042472266 01 TRICARE/CHAMPUS
965657 01 FIRST HEALTH
480026268 01 RAILROAD MEDICARE
AA2838 01 HARVARD PILGRIM HEALTHCAR
042472266 01 THREE RIVERS
Y70847 01 MEDICARE B
Y70910 01 BLUE SHIELD HMO BLUE
4886875 01 CIGNA PAL ID
9900050 01 FALLON COMMUNITY HLTH PL
26734 01 CHILDRENS MED SECURITY PL
7042342 01 AETNA/US HEALTHCARE
785949 01 MVP HEALTH CARE
042472266 01 ONE HEALTH PLAN
26734 01 HEALTHY START
Y70910 01 BLUE CARE ELECT
Y70910 01 BLUE SHIELD INDEMNITY
0362093 01 MEDICAID/WELFARE
institution
Provider Business Practice Location Address Details
Address
5 Neponset St
City
State
Zip
01606-2714
Phone Number
508-856-9181
Fax Number
508-425-6177
person
Provider Business Mailing Address Details
Address
5 Neponset St
City
State
Zip
01606-2714
Phone Number
508-856-9181
Fax Number
508-425-6177
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
1767 (Massachusetts)
Definition
Definition to come...
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