Michael Russo I

NPI 1497893127 - Psychologist - 103TC0700X

NPI Details
NPI 1497893127
Gender Male
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
91 NORTHWEST DR
PLAINVILLE CT, 06062-1534, US
Phone (860) 793-3552
Fax
Business Location
91 NORTHWEST DR
PLAINVILLE CT, 06062-1534, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Connecticut
License Number 002011
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According to our database, Dr. Michael Russo I NPI is 1497893127, taxonomy code is 103TC0700X and license number is 002011, license state is located at Connecticut. Michael Russo I physically located at 91 Northwest Dr, Plainville CT, 06062-1534. NPI Number Michael Russo I has the Individual type.

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1497893127 NPI number is provided on an as is basis without warranty of any kind. 1497893127 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Russo I are for informational purposes only.