MR. Charles Thomas Russett, PA

NPI #1952406712 in Leeds, Massachusetts

Provider Information

NPI Number: 1952406712
Entity Type: Individual
Name: MR. Charles Thomas Russett, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 421 N MAIN ST
Address 2: ROOM 222
City: Leeds
State: Massachusetts
ZIP Code: 01053-9764
Phone: (413) 584-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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