Individual
KRISTIN S RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-6300
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-6300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
231254
MA
Other
Enumeration date
04/25/2007
Last updated
02/28/2008
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