Individual
DR. STEVEN JON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, WEL 501, BOSTON, MA 02114-2621
(617) 726-3966
(617) 726-7543
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8722
(617) 724-8534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
219939
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
219939
MA
Other
Enumeration date
11/10/2005
Last updated
11/07/2012
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