Russell D. Donnelly, M.D.,P.C.

LBN: Russell D. Donnelly, M.D.,P.C.
Russell D. Donnelly, M.D.,P.C. is an health care organization with primary practice located at 123 Summer St Suite 535, Worcester MA 01608-1216. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Russell D. Donnelly, M.D.,P.C. can be contacted via phone (508) 363-6363, or through Donnelly, Russell D via phone (508) 363-6363.

Contact Information

Primary practice address
123 Summer St Suite 535 Worcester MA 01608-1216
Phone: (508) 363-6363
Fax: (508) 363-6366
Website:
Map and Directions
Authorized official contact:
Name: Donnelly, Russell D Doctor of Medicine (MD)
Phone: (508) 363-6363

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 56088 Massachusetts

Profile Details

NPI number 1780608364
LBN Legal business name Russell D. Donnelly, M.D.,P.C.
DBA Doing business as
Authorized official Donnelly, Russell D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 13th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780608364 NPPES
Massachusetts MEDICAID 9718401

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