Individual
DR. INNA V. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 GREEN STREET, SUITE 107, GARDNER, MA 01440
(978) 630-5050
(978) 630-5059
Mailing address
250 GREEN STREET, SUITE 107, GARDNER, MA 01440
(978) 630-5050
(978) 630-5059
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01076359A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
238630
MA
Other
Enumeration date
04/19/2009
Last updated
09/12/2023
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