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Dr. Gary J Russell, MD
Pediatric Gastroenterology Physician in Boston, Massachusetts
NPI 1669463550

Gary J Russell is a Pediatric Gastroenterology Physician based in Charlestown, MA and is specialized in Pediatric Gastroenterology. Gary J Russell practices in Boston, MA and has the professional credentials of MD. The NPI Number for Gary J Russell is 1669463550 and holds a License No. 57051 (Massachusetts).

The current practice location address for Gary J Russell is 55 Fruit St, Boston, MA and can be reached out via phone at 617-726-8705 and via fax at 617-724-2710.

Location: 55 Fruit St, Boston, MA, 02129-9142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669463550
Provider Name
Gary J Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Fruit St, Boston, MA, 02129-9142
Phone Number
617-726-8705
Fax Number
617-724-2710
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3036430 05 MA
057051 01 MA TUFTS HEALTH PLAN
J07673 01 MA BCBS MA
institution
Provider Business Practice Location Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-726-8705
Fax Number
617-724-2710
person
Provider Business Mailing Address Details
Address
55 Fruit St
City
Boston
State
Massachusetts
Zip
02114-2621
Phone Number
617-726-8705
Fax Number
617-724-2710
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
57051 (Massachusetts)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Gastroenterology
Taxonomy
2080P0206X
License No.
57051 (Massachusetts)
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
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