Kimberly Russo Dittler M.D.

NPI 1033136650 - Emergency Medicine - 207P00000X

NPI Details
NPI 1033136650
Gender Female
Enumeration Date 07/17/2006
Last Updated 03/29/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1153 CENTRE ST
BOSTON MA, 02130-3446, US
Phone (617) 983-7700
Fax (617) 983-7724
Business Location
1153 CENTRE ST
BOSTON MA, 02130-3446, US
Phone (617) 983-7700
Fax (617) 983-7724
Toxanomy
Taxonomy Code 207P00000X
License State Georgia
License Number 054658
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According to our database, Dr. Kimberly Russo Dittler M.D. NPI is 1033136650, taxonomy code is 207P00000X and license number is 054658, license state is located at Georgia. Kimberly Russo Dittler M.D. physically located at 1153 Centre St, Boston MA, 02130-3446. NPI Number Kimberly Russo Dittler M.D. has the Individual type.

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1033136650 NPI number is provided on an as is basis without warranty of any kind. 1033136650 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Russo Dittler M.D. are for informational purposes only.