person
Faven Ghebrehiwet Russom, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1700588696

Faven Ghebrehiwet Russom is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Faven Ghebrehiwet Russom practices in Boston, MA and has the professional credentials of MD. The NPI Number for Faven Ghebrehiwet Russom is 1700588696 and holds a License No. (Massachusetts).

The current practice location address for Faven Ghebrehiwet Russom is 801 Albany St, Boston, MA and can be reached out via phone at 617-355-8241.

Location: 801 Albany St, Boston, MA, 02119-2560
person
Provider Profile Details
NPI Number
1700588696
Provider Name
Faven Ghebrehiwet Russom
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
801 Albany St, Boston, MA, 02119-2560
Phone Number
617-355-8241
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 Albany St
City
State
Zip
02119-2560
Phone Number
617-355-8241
Fax Number
person
Provider Business Mailing Address Details
Address
801 Albany St
City
State
Zip
02119-2560
Phone Number
617-355-8241
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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