Russell D. Donnelly, M.d.,p.c.

NPI #1780608364 in Worcester, Massachusetts

Provider Information

NPI Number: 1780608364
Entity Type: Organization
Organization Name: Russell D. Donnelly, M.d.,p.c.
Primary Specialty: Specialist
Enumeration Date: Jul 27, 2006
Last Updated: Jan 13, 2011

Practice Location

Address: 123 SUMMER ST
Address 2: SUITE 535
City: Worcester
State: Massachusetts
ZIP Code: 01608-1216
Phone: (508) 363-6363

Authorized Official

Name: DR. RUSSELL D DONNELLY, M.D.
Title: PRESIDENT
Phone: (508) 363-6363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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