Active NPIIndividual provider

Dr. Russell L Maiese, MD

Pathology, Anatomic Pathology & Clinical Pathology in Shelton, Connecticut

NPI Number1093794356
Practice location
1 Greenwich Pl, Shelton, CT 06484-4618
Fax
203-929-2344
Last updated
May 29, 2015

Russell L Maiese is a Pathology, Anatomic Pathology & Clinical Pathology based in Shelton, CT. Russell L Maiese practices in Shelton, CT and has the professional credentials of MD. The NPI Number for Russell L Maiese is 1093794356 and holds a License No. 036583 (CT). The current practice location address for Russell L Maiese is 1 Greenwich Pl, Shelton, CT 06484-4618 and can be reached out via phone at 866-436-9631 and via fax at 203-929-2344.

Provider Profile Details

NPI Number
1093794356
Provider Name
Russell L Maiese
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Greenwich Pl, Shelton, CT 06484-4618
Phone Number
866-436-9631
Fax Number
203-929-2344
Sole Proprietor
No
Provider Enumeration Date
January 13, 2006
Last Update Date
May 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Greenwich Pl
Shelton, CT 06484-4618
Zip
06484-4618
Phone Number
866-436-9631
Fax Number
203-929-2344
Shelton, CT 06484Get directions →

Provider Business Mailing Address Details

Address
14275 Midway RD
Suite 400
Addison, TX 75001-3614
City
Addison
State
TX
Zip
75001-3614
Phone Number
866-436-9631
Fax Number
610-271-4245

License Information

License Number (1)
036583
License State (1)
CT
Taxonomy (1)
Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
License Number (2)
036583
License State (2)
CT
Taxonomy (2)
Pathology, Hematology · 207ZH0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Russell L Maiese, MD?

The NPI number of Dr. Russell L Maiese, MD is 1093794356. It was assigned on January 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Russell L Maiese, MD?

Dr. Russell L Maiese, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CT under license number 036583.

Where does Dr. Russell L Maiese, MD practice?

The practice location is 1 Greenwich Pl, Shelton, CT 06484-4618. The office can be reached at 866-436-9631 (phone) or 203-929-2344 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093794356 directly on the NPPES registry website.

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