Dr RAYMOND R RUSSELL is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 1995.
LIFESPAN PHYSICIAN GROUP, INC.
11 FRIENDSHIP ST
NEWPORT
RI
028402209
Tel:
Npi | 1063495497 |
Pac Id | 7911034566 |
Professional Enrollment Id | I20151029001747 |
Last Name | RUSSELL |
First Name | RAYMOND |
Middle Name | R |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 1995 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
Group Practice Pac Id | 2567455082 |
Number Of Group Practice Members | 615 |
Line 1 Street Address | 11 FRIENDSHIP ST |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | NEWPORT |
State | RI |
Zip Code | 028402209 |
Phone Number | |
Hospital Affiliation Ccn 1 | 410012 |
Hospital Affiliation Lbn 1 | THE MIRIAM HOSPITAL |
Hospital Affiliation Ccn 2 | 410007 |
Hospital Affiliation Lbn 2 | RHODE ISLAND HOSPITAL |
Hospital Affiliation Ccn 3 | 410006 |
Hospital Affiliation Lbn 3 | NEWPORT HOSPITAL |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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