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Organization

SOUTHERN NEW ENGLAND PHYSICIANS ASSOCIATES

Active
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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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