Individual
DR. RUSSELL LAURENCE TUVERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 FARMINGTON AVE, BRISTOL, CT 06010
(860) 589-0114
(860) 589-1936
Mailing address
975 FARMINGTON AVE, BRISTOL, CT 06010
(860) 589-0114
(860) 589-1936
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
021636
CT
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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