Individual
TROY MATTHEW RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 FILLMORE ST FL 5, DENVER, CO 80206-4916
(617) 505-1520
(617) 928-8401
Mailing address
109 STATE ST., 5TH FL, BOSTON, MA 02109-2906
(617) 505-1520
(617) 928-8401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036139898
IL
207Q00000X
Family Medicine Physician
Primary
272232
MA
207Q00000X
Family Medicine Physician
Primary
DR.0065958
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-139898
IL LIC
IL
05
—
036139898
—
IL
Enumeration date
03/28/2013
Last updated
03/20/2026
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