RUSSL ALTABTABAEE, DPM

NPI: 1528633096 · Individual · Active

Primary Specialty

Podiatrist

Practice Location

55 LAKE AVE N
WORCESTER, MA 01655-0002 Map ↗
Phone: 508-334-5500
Fax: 508-334-3408

Mailing Address

PO BOX 415348
BOSTON, MA 02241-5348 Map ↗

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Podiatrist Primary (license: PDF2560, MA)
  • Podiatrist (license: 59.000894, OH)
  • Foot Surgery Podiatrist — Foot Surgery (license: PDF2560, MA)

Other Practice Locations

2351 E 22nd St
Cleveland, OH 44115-3111 Map ↗
Phone: 216-861-6200
119 Belmont St
Worcester, MA 01605-2903 Map ↗
Phone: 508-334-5500

NPI Registration

Enumerated: 2021-05-26

Last CMS Update: 2024-09-05