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Provider Information for 1700918679

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CHRISTIANA M RUSS M.D.

Gender: FEMALE

Individual NPI: 1700918679

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1700918679
Enumeration Date 2007-03-09
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 280 NEWBURY ST APT. #2
BOSTON, MA 02116-2400
United States

Phone: 617-355-6000 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVENUE CHILDREN'S HOSPITAL
BOSTON, MA 02115
United States

Phone: 617-355-6000 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208000000X - Pediatrics MA 231065