Individual
MATTHEW SCOTT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 MONTVALE AVE STE 200, STONEHAM, MA 02180-2445
(781) 279-0971
Mailing address
41 MONTVALE AVE STE 200, STONEHAM, MA 02180-2445
(781) 279-0971
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
294420
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A103049
STATE MEDICAL LICENSE
CA
Enumeration date
03/28/2008
Last updated
09/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us