Organization
LONG RIVER PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS MD (OWNER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
799 NEW HAVEN RD, NAUGATUCK, CT 06770-4762
(203) 723-5636
(203) 723-5634
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2012
Last updated
12/24/2013
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