CHARLES THOMAS RUSSETT

LEEDS, MA
NPI1952406712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Mr. CHARLES THOMAS RUSSETT PA
421 N MAIN ST ROOM 222
LEEDS, MA 01053-9764
Phone number: 413-584-4040
Mailing Address
Mr. CHARLES THOMAS RUSSETT PA
12 KINGMAN RD
AMHERST, MA 01002-1585
Phone number: 413-549-5404
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