Individual
CHELSEY RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
491 GOLD STAR HWY STE 100, GROTON, CT 06340-6226
(860) 445-4290
(860) 448-1368
Mailing address
5 LAWRENCE ST UNIT 624, BLOOMFIELD, NJ 07003-4671
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
067559
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
06/15/2021
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