National Provider Identifier

Elizabeth B Russell, PA-C

Elizabeth B Russell, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Boston, MA and a listed phone number of (404) 735-6905.

NPI 1457426702Boston, MAMedical Physician Assistant

Source: public NPPES record, last updated June 05, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1457426702
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
November 22, 2006
Last Updated
June 05, 2018

Practice Location

  • 450 Brookline Ave
  • Boston, MA 02215

Phone: (404) 735-6905

Mailing Address

  • 450 Brookline Ave
  • Boston, MA 02215-5450

Specialties

  • Medical Physician Assistant (363AM0700X)

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Biography

Elizabeth B. (Breckheimer) Russell, PA-C, is a Boston-based oncology physician assistant. Her professional profile lists physician assistant training at Northeastern University in 2004 and certification through the National Commission on Certification of Physician Assistants. She is based at Dana-Farber Cancer Institute’s Longwood campus, part of a Harvard Medical School teaching hospital and NCI-designated comprehensive cancer center.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1457426702
Entity Type
Individual
Last Name
Russell
First Name
Elizabeth
Middle Name
B
Credential
PA-C
Provider Other Last Name
Breckheimer
Provider Other First Name
Elizabeth
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
450 Brookline Ave
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02215-5450
Mailing Country
US
Mailing Phone
(404) 735-6905
Practice Street Address
450 Brookline Ave
Practice City
Boston
Practice State
MA
Practice ZIP Code
02215
Practice Country
US
Practice Phone
(404) 735-6905
Enumeration Date
November 22, 2006
Last Updated
June 05, 2018
Sex
Female
Sole Proprietor
No
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
163604725B (GA)