Individual
DR. JAEL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
238B TOLLAND TPKE, MANCHESTER, CT 06042-5701
(860) 643-2719
(860) 643-2719
Mailing address
238B TOLLAND TPKE, MANCHESTER, CT 06042-5701
(860) 643-2719
(860) 643-2719
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
07/30/2015
Last updated
03/05/2020
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