Individual
DR. PAUL SNOWDEN RUSSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2801
(617) 726-3713
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
24041
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
24041
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081067
—
MA
01
—
M03674
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
09/11/2025
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