Whalio Doctors

NPI 1194745257

L. Russell Pet, MD

Practitioner Psychiatry Physician Fall River, MA

Practice location

Address
4 Hartwell St STE 1, Fall River, MA 02721-3019
Phone
(508) 675-0089
Fax
(508) 675-2233
Mailing address
4 Hartwell St, Fall River, MA 02721-3019

Registered specialties (2)

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 150723 (MA)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 8850 (RI)

Registry record

NPI
1194745257
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jul 2006
Record last updated
23 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.