Individual provider · Type 1 NPI

Faven Ghebrehiwet Russom, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1700588696 Active

Practice location

801 Albany St
Boston, MA 02119-2560

Call (617) 355-8241 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

20 other providers at this address

Other student in an organized health care education/training program providers in Boston

See all in Boston →

About NPI 1700588696

Faven Ghebrehiwet Russom, MD's National Provider Identifier is 1700588696, issued on Mar 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Mar 23, 2023.