Individual provider · Type 1 NPI

Elizabeth B. Russell, PA-C

Medical Physician Assistant · Boston, MA

NPI number 1457426702 Active

Practice location

450 Brookline Ave
Boston, MA 02215

Call (404) 735-6905 Map

Other practice locations

  • 81 Highland Ave, Emergency Services, Salem, MA 01970-2714 · (978) 354-3517

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X04709 (GA)
Medical Physician Assistant Primary 363AM0700XPA1862 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1457426702

Elizabeth B. Russell, PA-C's National Provider Identifier is 1457426702, issued on Nov 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Jun 5, 2018.