RUSSL ALTABTABAEE, DPM
Podiatrist
Active
Individual
NPI: 1528633096
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | PDF2560 (MA) |
| Podiatrist - Foot Surgery | 213ES0131X | No | PDF2560 (MA) |
Frequently Asked Questions
NPI 1528633096 is the National Provider Identifier for RUSSL ALTABTABAEE, DPM, a Podiatrist provider located in Worcester, MA. This NPI was enumerated on May 26, 2021.
RUSSL ALTABTABAEE, DPM practices at 55 LAKE AVE N, Worcester, MA 01655.
Quick Facts
- NPI
- 1528633096
- Type
- Individual
- Enumerated
- May 26, 2021
- Last Updated
- Sep 5, 2024
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