Individual
MARGARET A. RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
49 COLUMBUS AVE, NORTHAMPTON, MA 01060-4252
(413) 320-1139
Mailing address
49 COLUMBUS AVE, NORTHAMPTON, MA 01060-4252
(413) 320-1139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79902
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110037879A
—
MA
01
—
469026
TUFTS
ME
01
—
J27504
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
03/08/2006
Last updated
01/27/2016
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