Russo, Christopher John

Russo, Christopher John is an individual health care provider with primary practice located at 1345 Farmington Ave , Bristol CT 06010-4776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Russo, Christopher John can be contacted via phone (860) 585-0000.

Contact Information

Primary practice address
1345 Farmington Ave Bristol CT 06010-4776
Phone: (860) 585-0000
Fax: (860) 584-5514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 14895 New Hampshire
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 053760 Connecticut

Profile Details

NPI number 1639372345
LBN Legal business name Russo, Christopher John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Feb 22nd, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639372345 NPPES
Vermont MEDICAID 1017993
Vermont Other 8705025
Vermont Other 9507532
Vermont Other 1639372345
Vermont Other AA183908
Vermont MEDICAID 30209796

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