Russell, Raymond Richard
Russell, Raymond Richard is an individual health care provider with primary practice located at 800 Howard Ave Yale Physicians Building, New Haven CT 06519-1369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Russell, Raymond Richard can be contacted via phone (203) 785-2140.Contact Information
Primary practice address
800 Howard Ave Yale Physicians Building
New Haven CT 06519-1369
Phone: (203) 785-2140
Fax: (203) 785-6414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 038910 | Connecticut |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 038910 | Connecticut |
Profile Details
| NPI number | 1063495497 |
|---|---|
| LBN Legal business name | Russell, Raymond Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Feb 20th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063495497 | NPPES |
| Connecticut | MEDICAID | 001389106 |
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