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Organization

NATURAL PEDIATRIC MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBIN RUSSELL N.D. (OWNER)
(860) 453-4090
Entity
Organization

Contact information

Practice address
176 ASHLEY FALLS RD, CANAAN, CT 06018-2014
(860) 453-4090
(860) 453-4191
Mailing address
176 ASHLEY FALLS RD, CANAAN, CT 06018-2014
(860) 453-4090
(860) 453-4191

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000491
CT

Other

Enumeration date
12/04/2014
Last updated
12/04/2014
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