Individual
MARY E RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
343 RUSSELL ST, CARLISLE, MA 01741-1713
(978) 318-9508
Mailing address
343 RUSSELL ST, CARLISLE, MA 01741-1713
(978) 318-9508
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
57777
MA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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