Russell L Maiese MD

NPI 1093794356 - Pathology - 207ZH0000X

NPI Details
NPI 1093794356
Gender Male
Enumeration Date 01/13/2006
Last Updated 05/29/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1 GREENWICH PL
SHELTON CT, 06484-4618, US
Phone (866) 436-9631
Fax (203) 929-2344
Business Location
14275 MIDWAY RD
SUITE 400
ADDISON TX, 75001-3614, US
Phone (866) 436-9631
Fax (610) 271-4245
Toxanomy
Taxonomy Code 207ZH0000X
License State Connecticut
License Number 036583
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According to our database, Dr. Russell L Maiese MD NPI is 1093794356, taxonomy code is 207ZH0000X and license number is 036583, license state is located at Connecticut. Russell L Maiese MD physically located at 1 Greenwich Pl, Shelton CT, 06484-4618. NPI Number Russell L Maiese MD has the Individual type.

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1093794356 NPI number is provided on an as is basis without warranty of any kind. 1093794356 is maintained by the National Plan & Provider Enumeration System. The contents of Russell L Maiese MD are for informational purposes only.