Individual
DR. MICHAEL BENJAMIN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111
(617) 636-5000
Mailing address
391 HYDE PARK AVE APT 206, BOSTON, MA 02131-2166
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
275771
MA
Other
Enumeration date
06/10/2014
Last updated
07/04/2018
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