Dr. Russell T Coleman, MD
Pediatrics in Groton, Massachusetts
1770579641- Practice location
- 120 Boston RD Ste 1, Groton, MA 01450-1860
- Phone
- 978-577-0437
- Fax
- 978-448-6707
- Last updated
- September 29, 2021
Russell T Coleman is a Pediatrics based in Groton, MA. Russell T Coleman practices in Groton, MA and has the professional credentials of MD. The NPI Number for Russell T Coleman is 1770579641 and holds a License No. 153987 (MA). The current practice location address for Russell T Coleman is 120 Boston RD Ste 1, Groton, MA 01450-1860 and can be reached out via phone at 978-577-0437 and via fax at 978-448-6707.
Provider Profile Details
- NPI Number
- 1770579641
- Provider Name
- Russell T Coleman
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 120 Boston RD Ste 1, Groton, MA 01450-1860
- Phone Number
- 978-577-0437
- Fax Number
- 978-448-6707
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 26, 2005
- Last Update Date
- September 29, 2021
- Certification Date
- September 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 120 Boston RD Ste 1
Groton, MA 01450-1860 - City
- Groton
- State
- Massachusetts
- Zip
- 01450-1860
- Phone Number
- 978-577-0437
- Fax Number
- 978-448-6707
Provider Business Mailing Address Details
- Address
- 120 Boston RD Ste 1
Groton, MA 01450-1860 - City
- Groton
- State
- MA
- Zip
- 01450-1860
- Phone Number
- 978-577-0437
- Fax Number
- 978-448-6707
License Information
- License Number
- 153987
- License State
- MA
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Groton, MA
View all Pediatrics providers in Groton →Frequently Asked Questions
What is the NPI number of Dr. Russell T Coleman, MD?
The NPI number of Dr. Russell T Coleman, MD is 1770579641. It was assigned on September 26, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Russell T Coleman, MD?
Dr. Russell T Coleman, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 153987.
Where does Dr. Russell T Coleman, MD practice?
The practice location is 120 Boston RD Ste 1, Groton, MA 01450-1860. The office can be reached at 978-577-0437 (phone) or 978-448-6707 (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 1770579641 directly on the NPPES registry website.