Individual
DAWN S RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 CEDAR STREET, BOARDMAN BUILDING, SECOND FLOOR, NEW HAVEN, CT 06520
(203) 785-2020
Mailing address
1298 HARTFORD TPKE, APARTMENT #10 J, NORTH HAVEN, CT 06473-2175
(203) 469-7263
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
03/13/2008
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