Russell Pet M.D. Inc

LBN: Russell Pet M.D. Inc
Russell Pet M.D. Inc is an health care organization with primary practice located at 4 Hartwell St , Fall River MA 02721-3019. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as the primary health care specialty. Russell Pet M.D. Inc can be contacted via phone (508) 675-0089, or through Pet, L Russell via phone (508) 675-0089.

Contact Information

Primary practice address
4 Hartwell St Fall River MA 02721-3019
Phone: (508) 675-0089
Fax: (508) 675-2233
Website:
Map and Directions
Authorized official contact:
Name: Pet, L Russell Doctor of Medicine (MD)
Phone: (508) 675-0089

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1710204391
LBN Legal business name Russell Pet M.D. Inc
DBA Doing business as
Authorized official Pet, L Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2010
Last updated Apr 22nd, 2010 - about 16 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 1710204391 NPPES
Massachusetts MEDICAID 3154564

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