Organization
JOHN DEMPSEY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIUSEPPE M RUSSO R.D. (REGISTERED DIETITIAN)
(860) 679-4450
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4450
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-4450
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
03-637643
CT
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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