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Individual

DR. DAVID S RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
60 TEMPLE ST, SUITE 8B, NEW HAVEN, CT 06510-2716
(203) 401-4300
(203) 401-4301
Mailing address
60 TEMPLE ST, SUITE 8B, NEW HAVEN, CT 06510-2716
(203) 401-4300
(203) 401-4301

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
034730
CT

Other

Enumeration date
11/14/2005
Last updated
02/07/2008
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