Individual
JOHN RUSSELL MEYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 EAST AVE STE 1, NORWALK, CT 06851
(203) 857-1866
(203) 857-1866
Mailing address
128 EAST AVE STE 1, NORWALK, CT 06851-5741
(203) 857-1866
(203) 857-1865
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41859
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41859
MEDICAL LICENSE
CT
Enumeration date
11/28/2006
Last updated
03/07/2023
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