Individual
MARION RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 CENTRAL ST, WELLESLEY, MA 02481-8203
(817) 283-2839
(817) 283-3769
Mailing address
106 CENTRAL ST, WELLESLEY, MA 02481-8203
(781) 283-2839
(781) 283-3769
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
226686
MA
Other
Enumeration date
07/19/2007
Last updated
06/21/2019
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