Search › Connecticut › 363L00000X
Mark Russell, APRN
NPI 1609164532 · on the registry since 2011
Practice
- Address
- 125 Lasalle Rd
West Hartford, CT 06107 - Phone
- (860) 906-1289
- Fax
- (860) 906-1269
- Organisation at this address
- Mellahealth Llc
Katz Family Dental Llc
Lawrence Haber Phd Pllc
Ronni G Stein M.D., P.C.
Ruby Psychiatric Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-04
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