Individual
RUSSELL W COURNOYER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 856-9181
(508) 425-6177
Mailing address
5 NEPONSET ST FL STREET12, WORCESTER, MA 01606-2714
(508) 856-9181
(508) 425-6177
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1767
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0362093
MEDICAID/WELFARE
—
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
26734
CHILDRENS MED SECURITY PL
—
01
—
480026268
RAILROAD MEDICARE
—
01
—
4886875
CIGNA PAL ID
—
01
—
7042342
AETNA/US HEALTHCARE
—
01
—
785949
MVP HEALTH CARE
—
01
—
965657
FIRST HEALTH
—
01
—
9900050
FALLON COMMUNITY HLTH PL
—
01
—
AA2838
HARVARD PILGRIM HEALTHCAR
—
01
—
Y70847
MEDICARE B
—
01
—
Y70910
BLUE SHIELD HMO BLUE
—
Enumeration date
11/16/2005
Last updated
09/26/2018
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