Individual
DR. HANNAH NIKKOLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
333 CEDAR ST RM CB-30, YUSM - RADIOLOGY, NEW HAVEN, CT 06510-3206
(203) 785-5102
Mailing address
333 CEDAR ST RM CB-30, YUSM - RADIOLOGY, NEW HAVEN, CT 06510-3206
(203) 785-5102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
5101019491
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
11/22/2016
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