Individual provider · Type 1 NPI

Caeli A. Russell, PA

Medical Physician Assistant · Springfield, MA

NPI number 1801319785 Active

Practice location

759 Chestnut St
Springfield, MA 01199

Mailing address

280 Chestnut Street, 2nd Fl
Springfield, MA 01199-1001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA6190 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1801319785

Caeli A. Russell, PA's National Provider Identifier is 1801319785, issued on Jul 21, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MA. The record was last updated on Jul 20, 2018.