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Individual

DR. JAMES A RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5243
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5243

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
73578
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110049194A
MA
Enumeration date
10/04/2006
Last updated
11/22/2010
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