Russell, Steven Jon
Russell, Steven Jon is an individual health care provider with primary practice located at 55 Fruit St Wel 501, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Russell, Steven Jon can be contacted via phone (617) 726-3966.Contact Information
Primary practice address
55 Fruit St Wel 501
Boston MA 02114-2621
Phone: (617) 726-3966
Fax: (617) 726-7543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 219939 | Massachusetts |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 219939 | Massachusetts |
Profile Details
| NPI number | 1679554042 |
|---|---|
| LBN Legal business name | Russell, Steven Jon |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Nov 7th, 2012 - about 13 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.
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