Individual
ROGER KEITH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
243 CHARLES STREET, MEEI DEPT OF ANESTHESIOLOGY SUITE 712, BOSTON, MA 02114
(617) 573-3378
Mailing address
243 CHARLES ST, MEEI DEPT OF ANESTHESIOLOGY SUITE 712, BOSTON, MA 02114-3002
(617) 573-3378
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
78082
MA
Other
Enumeration date
11/08/2005
Last updated
09/22/2011
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