Individual
DR. GARY EDWARD RUSSOLILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
970 FARMINGTON AVE, SUITE 21, WEST HARTFORD, CT 06107-2139
(860) 521-2200
(860) 521-2605
Mailing address
970 FARMINGTON AVE, SUITE 21, WEST HARTFORD, CT 06107-2139
(860) 521-2200
(860) 521-2605
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
014345
CT
Other
Enumeration date
11/03/2006
Last updated
07/01/2021
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