Individual
ELIZABETH B RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215
(404) 735-6905
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(404) 735-6905
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
04709
GA
363AM0700X
Medical Physician Assistant
Primary
PA1862
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163604725B
—
GA
Enumeration date
11/22/2006
Last updated
06/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us