CONCETTA M RUSSELL

WORCESTER, MA
NPI1942429584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  2518)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  000062-1)
Enumeration Date2007-04-24
Last Update Date2008-11-12
Business Address
-- CONCETTA M RUSSELL PA
123 SUMMER ST SUITE 590
WORCESTER, MA 01608-1216
Phone number: 508-852-0600
Mailing Address
-- CONCETTA M RUSSELL PA
159 NICHOLAS DRIVE
LANCASTER, MA 01523
Phone number: 978-706-1522