Individual
ROBERT MITCHELL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 WASHINGTON ST, NE MEDICAL CENTER, BOSTON, MA 02111-1526
(617) 636-5000
Mailing address
711 WASHINGTON ST, BOSTON, MA 02111-1524
(617) 556-3335
(617) 556-3295
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
47547
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157503
—
MA
Enumeration date
08/31/2006
Last updated
12/04/2007
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