Alex Russakovsky (NPI# 1366634792, PAC ID# 3577717206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1366634792 |
| PAC ID by PECOS | 3577717206 |
| Professional Enrollment ID | I20130206000072 |
| Full Name | Alex Russakovsky |
| Address |
22 Mcgrath Hwy 4 Somerville MA 02143-4508 |
| Gender | M |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 2007 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 22 Mcgrath Hwy 4, Somerville, MA 02143-4508 |
| Street Address |
22 MCGRATH HWY 4 |
| City | SOMERVILLE |
| State | MA |
| Zip | 02143-4508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mckenzie Marie Alexandra Gassner | Physician Assistant | Cambridge Public Health Commission | 5 Middlesex Ave, Assembley Sq Specialty Ctr, Somerville, MA 02143 |
| Rebecca Lavine | Clinical Social Worker | 1236 Broadway, Somerville, MA 02143 | |
| Thien T Luu | Physician Assistant | Cambridge Public Health Commission | 5 Middlesex Ave, Assembley Sq Specialty Ctr, Somerville, MA 02143 |
| Tony Leung | Urology | Cambridge Public Health Commission | 5 Middlesex Ave, Assembley Sq Specialty Ctr, Somerville, MA 02143 |
| Stephen N Kales | Preventative Medicine | Cambridge Public Health Commission | 5 Middlesex Ave, Assembley Sq Specialty Ctr, Somerville, MA 02143 |
| Matthew Desir | Family Medicine | Cambridge Public Health Commission | 5 Middlesex Ave, Assembley Sq Specialty Ctr, Somerville, MA 02143 |
| Carolyn A Jordan | Nurse Practitioner | Cambridge Public Health Commission | 5 Middlesex Ave, Assembley Sq Specialty Ctr, Somerville, MA 02143 |
| Daphne Schneider | Geriatric Medicine | Cambridge Public Health Commission | 5 Middlesex Ave, Assembley Sq Specialty Ctr, Somerville, MA 02143 |
| Anna Rabkina | Family Medicine | Cambridge Public Health Commission | 5 Middlesex Ave, Assembley Sq Specialty Ctr, Somerville, MA 02143 |
| Sherar Andalcio | Family Medicine | Cambridge Public Health Commission | 5 Middlesex Ave, Assembley Sq Specialty Ctr, Somerville, MA 02143 |
| Find all physicians in zip 02143 | |||
| City | SOMERVILLE |
| Zip Code | 02143 |
| Specialty | OPTOMETRY |
| City + Specialty | SOMERVILLE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.