Organization
SOUTHERN NEW ENGLAND PHYSICIANS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L. RUSSELL PET M.D. (PRESIDENT)
(508) 961-5930
Entity
Organization
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 961-5930
(508) 961-5931
Mailing address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 961-5930
(508) 961-5931
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022708
BMC
MA
01
—
1005690
NEIGHBORHOOD HEALTH PLAN
MA
01
—
25369-1
BCBS RI
RI
01
—
256732
MAGELLAN
MA
01
—
603203
TUFTS HEALTH PLAN
MA
05
—
9761306
—
MA
01
—
M15074
BCBS MA
MA
Enumeration date
07/16/2006
Last updated
10/29/2009
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