Gregory Russo is a General Practice in Vernon, Connecticut. Gregory Russo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory Russo is 1902025877. The last update date is 2007-07-08.
Gregory Russo's current location address is 351 Merline Rd, Vernon, Connecticut. You can contact this provider via phone number 8608755664 and fax number 8608750520. The mailing address for Gregory Russo is 351 Merline Rd, Vernon, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Russo |
|---|---|
| Address | 351 Merline Rd, Vernon, Connecticut |
| Phone Number | 8608755664 |
| Fax Number | 8608750520 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902025877 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 351 Merline Rd |
|---|---|
| City | Vernon |
| State | Connecticut (CT) |
| Post Code | 60664040 |
| Phone Number | 8608755664 |
| Fax Number | 8608750520 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8923 |
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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 Gregory Russo by the Centers for Medicare & Medicaid Services?
The Gregory Russo has been issued the NPI (National Provider Identifier) 1902025877, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gregory Russo is physically located?
The Gregory Russo is situated at the following address: 351 Merline Rd, Vernon, CT 60664040.
What is Gregory Russo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory Russo is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Gregory Russo receive its 1902025877 assignment from the Centers for Medicare & Medicaid Services?
The Gregory Russo was assigned its 1902025877 by the Centers for Medicare & Medicaid Services on 2007-04-25.
As of what date was the information regarding Gregory Russo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory Russo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.