Jennifer Russo
Internal Medicine in Lowell, Massachusetts
1699032128- Practice location
- 166 Central St, Lowell, MA 01852
- Phone
- 978-513-7300
- Fax
- 781-268-5070
- Last updated
- October 1, 2024
Jennifer Russo is an Internal Medicine based in Lowell, MA. Jennifer Russo practices in Lowell, MA. The NPI Number for Jennifer Russo is 1699032128 and holds a License No. 261536 (MA). The current practice location address for Jennifer Russo is 166 Central St, Lowell, MA 01852 and can be reached out via phone at 978-513-7300 and via fax at 781-268-5070.
Provider Profile Details
- NPI Number
- 1699032128
- Provider Name
- Jennifer Russo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 166 Central St, Lowell, MA 01852
- Phone Number
- 978-513-7300
- Fax Number
- 781-268-5070
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Other Names
- -- Jennifer Aborn (Former Name)
- Provider Enumeration Date
- April 22, 2012
- Last Update Date
- October 1, 2024
- Certification Date
- October 1, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 166 Central St
Lowell, MA 01852 - City
- Lowell
- State
- Massachusetts
- Zip
- 01852
- Phone Number
- 978-513-7300
- Fax Number
- 781-268-5070
Provider Business Mailing Address Details
- Address
- 240 Main St
Groton, MA 01450-1236 - City
- Groton
- State
- MA
- Zip
- 01450-1236
- Phone Number
- 978-448-4300
- Fax Number
- 978-448-4040
License Information
- License Number
- 261536
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · 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 Jennifer Russo?
The NPI number of Jennifer Russo is 1699032128. It was assigned on April 22, 2012 and is currently active in the NPPES registry.
What is the specialty of Jennifer Russo?
Jennifer Russo is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 261536.
Where does Jennifer Russo practice?
The practice location is 166 Central St, Lowell, MA 01852. The office can be reached at 978-513-7300 (phone) or 781-268-5070 (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 1699032128 directly on the NPPES registry website.