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Daniel P Russo
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1437736543

Daniel P Russo is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Daniel P Russo practices in Farmington, CT. The NPI Number for Daniel P Russo is 1437736543 and holds a License No. (Connecticut).

The current practice location address for Daniel P Russo is 263 Farmington Avenue, Farmington, CT and can be reached out via phone at 860-679-6522 and via fax at 860-679-8892.

Location: 263 Farmington Avenue, Farmington, CT, 06030-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437736543
Provider Name
Daniel P Russo
Credential
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Avenue, Farmington, CT, 06030-1921
Phone Number
860-679-6522
Fax Number
860-679-8892
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Avenue
City
Farmington
State
Connecticut
Zip
06030-8083
Phone Number
860-679-6522
Fax Number
860-679-8892
person
Provider Business Mailing Address Details
Address
263 Farmington Avenue
City
Farmington
State
Connecticut
Zip
06030-8083
Phone Number
860-679-6522
Fax Number
860-679-8892
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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