Individual
RUSSELL ALAN BLINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115-6110
(617) 632-3306
(617) 632-5579
Mailing address
44 BINNEY ST, RADIOLOGY, DANA-FARBER CANCER INSTITUTE, BOSTON, MA 02115-6013
(617) 632-3306
(617) 632-5579
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
159471
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159471
TUFTS HEALTH CARE
MA
01
—
240794BWHT
HARVARD PILGRIM HEALTH CA
MA
05
—
3191168
—
MA
01
—
J19873
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/16/2005
Last updated
08/13/2007
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