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NPI Code Detail

MEDICARE: DR. MARIA RUSSO-APPEL M.D.

MEDICARE: DR. MARIA RUSSO-APPEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician39949CT
22084P0800XPsychiatry Physician218373MA

General Provider Information

NPI Number : 1518050699
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA RUSSO-APPEL M.D.
Provider Business Mailing Address
First Line : 1290 SILAS DEANE HWY
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-4337
Country : US
Telephone Number : 413-348-7548
Fax Number :
Provider Business Practice Location Address
First Line : 47 LONG LOTS RD
Second Line :
City : WESTPORT
State : CT
Zip : 06880-3828
Country : US
Telephone Number : 203-227-1251
Fax Number : 203-226-8616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 01/29/2024

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