Active NPIIndividual provider

Matthew L Russell, MD

Internal Medicine, Geriatric Medicine in Roslindale, Massachusetts

NPI Number1699723627
Practice location
1200 Centre Street, Department Of Medicine, Roslindale, MA 02131
Fax
617-363-8929
Last updated
September 29, 2015

Matthew L. Russell is an Internal Medicine, Geriatric Medicine based in Roslindale, MA. Matthew L. Russell practices in Roslindale, MA and has the professional credentials of MD. The NPI Number for Matthew L. Russell is 1699723627 and holds a License No. 207327 (MA). The current practice location address for Matthew L. Russell is 1200 Centre Street, Department Of Medicine, Roslindale, MA 02131 and can be reached out via phone at 617-363-8849 and via fax at 617-363-8929.

Provider Profile Details

NPI Number
1699723627
Provider Name
Matthew L. Russell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 Centre Street, Department Of Medicine, Roslindale, MA 02131
Phone Number
617-363-8849
Fax Number
617-363-8929
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2006
Last Update Date
September 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Centre Street
Department Of Medicine
Roslindale, MA 02131
Zip
02131
Phone Number
617-363-8849
Fax Number
617-363-8929
Roslindale, MA 02131Get directions →

Provider Business Mailing Address Details

Address
1200 Centre Street
Department Of Medicine
Roslindale, MA 02131
City
Roslindale
State
MA
Zip
02131
Phone Number
617-363-8849
Fax Number
617-363-8929

License Information

License Number (1)
207327
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
207327
License State (2)
MA
Taxonomy (2)
Internal Medicine, Geriatric Medicine · 207RG0300X · Primary
License Number (3)
207327
License State (3)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
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 Matthew L Russell, MD?

The NPI number of Matthew L Russell, MD is 1699723627. It was assigned on May 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Matthew L Russell, MD?

Matthew L Russell, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in MA under license number 207327.

Where does Matthew L Russell, MD practice?

The practice location is 1200 Centre Street, Department Of Medicine, Roslindale, MA 02131. The office can be reached at 617-363-8849 (phone) or 617-363-8929 (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 1699723627 directly on the NPPES registry website.

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