Individual
RUSSELL SHERNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(862) 215-5786
Mailing address
604 S 9TH ST APT 302, PHILADELPHIA, PA 19147-2266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3015305
MA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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