Russell B. Butler, Md, Pc | |
131 Ornac Jcb 730 Concord MA 01742-4181 | |
(978) 369-7812 | |
(978) 369-3353 |
Full Name | Russell B. Butler, Md, Pc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 131 Ornac, Concord, Massachusetts |
Authorized Official Name and Position | Russell B Butler (OWNER) |
Authorized Official Contact | 9783697812 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Russell B. Butler, Md, Pc 131 Ornac Jcb 730 Concord MA 01742-4181 Ph: (978) 369-7812 | Russell B. Butler, Md, Pc 131 Ornac Jcb 730 Concord MA 01742-4181 Ph: (978) 369-7812 |
NPI Number | 1770774242 |
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Provider Enumeration Date | 08/08/2007 |
Last Update Date | 08/08/2007 |
Medicare PECOS PAC ID | 5395820682 |
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Medicare Enrollment ID | O20080311000490 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770774242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 38198 (Massachusetts) | Primary |
Provider Name | Russell B Butler |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1942249479 PECOS PAC ID: 5395823405 Enrollment ID: I20100805000588 |
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