Individual
CHRISTOPHER G RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
3 HOPKINS ST, LITCHFIELD, NH 03052-8053
(603) 365-0457
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA4008
MA
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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