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Individual
BRIAN MICHAEL RUSSELL
Active
Individual
BRIAN MICHAEL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1013661
MA
207R00000X
Internal Medicine Physician
280689
MA
207RH0000X
Hematology (Internal Medicine) Physician
1013661
MA
207RX0202X
Medical Oncology Physician
Primary
1013661
MA
208M00000X
Hospitalist Physician
Primary
1013661
MA
Other
Enumeration date
05/22/2019
Last updated
07/16/2026
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