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Elizabeth B Russell, PA-C
Medical Physician Assistant in Boston, Massachusetts
NPI 1457426702

Elizabeth B Russell is a Medical Physician Assistant based in Boston, MA and is specialized in Medical. Elizabeth B Russell practices in Boston, MA and has the professional credentials of PA-C. The NPI Number for Elizabeth B Russell is 1457426702 and holds a License No. 04709 (Massachusetts).

The current practice location address for Elizabeth B Russell is 450 Brookline Ave, Boston, MA and can be reached out via phone at 404-735-6905.

Location: 450 Brookline Ave, Boston, MA, 02215-5450
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Provider Profile Details
NPI Number
1457426702
Provider Name
Elizabeth B Russell
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
450 Brookline Ave, Boston, MA, 02215-5450
Phone Number
404-735-6905
Fax Number
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
163604725B 05 GA
institution
Provider Business Practice Location Address Details
Address
450 Brookline Ave
City
State
Zip
02215
Phone Number
404-735-6905
Fax Number
person
Provider Business Mailing Address Details
Address
450 Brookline Ave
City
State
Zip
02215
Phone Number
404-735-6905
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
04709 (Georgia)
Definition
Definition to come...
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