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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSL ALTABTABAEE, DPM

Active

RUSSL ALTABTABAEE, DPM is a Podiatrist healthcare provider located in WORCESTER, Massachusetts. NPI 1528633096 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · WORCESTER, MA

Registration Details

NPI Number
1528633096
Provider Type
Individual
Gender
Female
NPI Issued
May 26, 2021 (5.0306862657763 yrs)
Last Updated
Sep 5, 2024
Licenses
59.000894 (OH)
PDF2560 (MA)
PDF2560 (MA)

Practice Information

Address
55 LAKE AVE N
WORCESTER, MA, 016550002
Browse MA providers · Browse ZIP 01655
Phone
5083345500
Fax
5083343408
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Foot Surgery Podiatrist
Additional Specialty
Podiatrist

Other Podiatrist Providers in WORCESTER, MA

Name Credential NPI
FRANCES J. LAGANA DPM 1750385514
DR. JOSEPH MICHAEL LACONTE DPM 1881695120
DAVID JOSEPH JOHNS DPM 1023088416
DR. VICKI L STONE DPM 1700825437
PAUL A. COURNOYER D.P.M. 1609819234
DR. ROBERT JOSEPH GREENE DPM 1205843893
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.