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Individual
DR. CHRISTOPHER JOHN RUSSO
Active
Individual
DR. CHRISTOPHER JOHN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
053760
CT
207W00000X
Ophthalmology Physician
14895
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017993
—
VT
01
—
1639372345
ANTHEM
—
05
—
30209796
—
NH
01
—
8705025
CIGNA
—
01
—
9507532
AETNA
—
01
—
AA183908
HARVARD PILGRIM
—
Enumeration date
06/08/2007
Last updated
02/22/2023
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