Russell, Gregory D.
Russell, Gregory D. is an individual health care provider with primary practice located at 49 State Rd , North Dartmouth MA 02747-3322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Russell, Gregory D. can be contacted via phone (508) 973-6650.Contact Information
Primary practice address
49 State Rd
North Dartmouth MA 02747-3322
Phone: (508) 973-6650
Fax: (508) 973-0345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 150866 | Massachusetts |
Profile Details
| NPI number | 1053365163 |
|---|---|
| LBN Legal business name | Russell, Gregory D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Apr 24th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053365163 | NPPES |
| Massachusetts | MEDICAID | 110059962A |
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