KATHRYN D RUSSO

BOSTON, MA
NPI1124299631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MA  239289)
Enumeration Date2008-03-13
Last Update Date2008-03-13
Business Address
-- KATHRYN D RUSSO N.P.
147 MILK ST PROVIDER ENROLLMENT DEPT. - 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8374
Mailing Address
-- KATHRYN D RUSSO N.P.
133 BROOKLINE AVE
BOSTON, MA 02215-3904
Phone number: 617-421-1194
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