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Physician Compare National (NPI:1952416000)

HEALTHCARE PROVIDER: RUSSELL BABBITT III M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1952416000
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7315079969
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100716000270
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BABBITT
Individual professional last name
Provider First Name RUSSELL
Individual professional first name
Provider Name Suffix Text III
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Individual professional's medical school
Graduation Year 2003
Individual professional's medical school graduation year
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name PLASTIC SURGERY OF SOUTHERN NEW ENGLAND, P.C.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 6204870629
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 300 HANOVER ST
Group Practice or individual's line 1 address
Line 2 Street Address 1A
Group Practice or individual's line 2 address
City FALL RIVER
Group Practice or individual's city
State MA
Group Practice or individual's state
Zip Code 027205451
Group Practice or individual's zip code (9 digits when available)
Phone Number 5085673202
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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