Individual
DR. RUSSELL PARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 WESTWOOD AVE, WATERBURY, CT 06708-2460
(203) 574-3007
Mailing address
60 WESTWOOD AVE, WATERBURY, CT 06708-2460
(203) 574-3007
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
56277
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2013
Last updated
11/24/2021
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