Jeffrey Carl Russo in East Windsor - General Practice
Jeffrey Carl Russo - NPI 1396862561
Jeffrey Carl Russo is a General Practice in East Windsor, Connecticut. Jeffrey Carl Russo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Carl Russo is 1396862561. The last update date is 2007-07-08.
Jeffrey Carl Russo's current location address is 148 North Rd, East Windsor, Connecticut. You can contact this provider via phone number 8606275235. The mailing address for Jeffrey Carl Russo is 148 North Rd, East Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Carl Russo |
|---|---|
| Address | 148 North Rd, East Windsor, Connecticut |
| Phone Number | 8606275235 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1396862561 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 148 North Rd |
|---|---|
| City | East Windsor |
| State | Connecticut (CT) |
| Post Code | 60889502 |
| Phone Number | 8606275235 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9049 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Jeffrey Carl Russo by the Centers for Medicare & Medicaid Services?
The Jeffrey Carl Russo has been issued the NPI (National Provider Identifier) 1396862561, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffrey Carl Russo?
The Jeffrey Carl Russo is situated at 148 North Rd, in the city of East Windsor, state of CT, with the zip code 60889502.
What is the Jeffrey Carl Russo's specialty and taxonomy code?
The Jeffrey Carl Russo's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396862561 to Jeffrey Carl Russo?
The Jeffrey Carl Russo received its 1396862561 assignment from the Centers for Medicare & Medicaid Services on 2007-03-23.
As of what date was the information regarding Jeffrey Carl Russo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Carl Russo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.