Individual
DR. CRAIG RUSSELL ELLIOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12A LEDGEBROOK DR, MANSFIELD CENTER, CT 06250-1664
(860) 423-2960
(860) 423-3719
Mailing address
12A LEDGEBROOK DR, MANSFIELD CENTER, CT 06250-1664
(860) 423-2960
(860) 423-3719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
030481
CT
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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