Individual
RUSSELL C TONTZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 MIDDLESEX AVE, SOMERVILLE, MA 02145-1102
(617) 665-1000
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
64408
MN
2083X0100X
Occupational Medicine Physician
Primary
1013927
MA
Other
Enumeration date
06/19/2007
Last updated
11/20/2023
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