Russell, Robert Mitchell
Russell, Robert Mitchell is an individual health care provider with primary practice located at 750 Washington St Ne Medical Center, Boston MA 02111-1526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Russell, Robert Mitchell can be contacted via phone (617) 636-5000.Contact Information
Primary practice address
750 Washington St Ne Medical Center
Boston MA 02111-1526
Phone: (617) 636-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 47547 | Massachusetts |
Profile Details
| NPI number | 1609988021 |
|---|---|
| LBN Legal business name | Russell, Robert Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Dec 4th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609988021 | NPPES |
| Massachusetts | MEDICAID | 0157503 |
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