SearchConnecticut1223X0400X

Peter Russo, DMD

NPI 1568598076 · on the registry since 2007

Practice

Address
53 Montowese St
Branford, CT 06405
Phone
(203) 483-1816
Fax
(203) 483-1160

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut