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Dr. Michael Russo, DC
Chiropractor in Branford, Connecticut
NPI 1891762837

Michael Russo is a Chiropractor based in Branford, CT. Michael Russo practices in Branford, CT and has the professional credentials of DC. The NPI Number for Michael Russo is 1891762837 and holds a License No. 000561 (Connecticut).

The current practice location address for Michael Russo is 400 W Main St, Branford, CT and can be reached out via phone at 203-483-7778 and via fax at 203-481-0234.

Location: 400 W Main St, Branford, CT, 06405-3416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891762837
Provider Name
Michael Russo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
400 W Main St, Branford, CT, 06405-3416
Phone Number
203-483-7778
Fax Number
203-481-0234
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000561 01 CT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
400 W Main St
City
Branford
State
Connecticut
Zip
06405-3416
Phone Number
203-483-7778
Fax Number
203-481-0234
person
Provider Business Mailing Address Details
Address
400 W Main St
City
Branford
State
Connecticut
Zip
06405-3416
Phone Number
203-483-7778
Fax Number
203-481-0234
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
000561 (Connecticut)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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