Individual
DR. KIMBERLY RUSSO DITTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7700
(617) 983-7724
Mailing address
1153 CENTRE ST, BOSTON, MA 02130-3446
(617) 983-7700
(617) 983-7724
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-113760
IL
207P00000X
Emergency Medicine Physician
054658
GA
207P00000X
Emergency Medicine Physician
Primary
236721
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113760
—
IL
Enumeration date
07/17/2006
Last updated
03/29/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us