Medbery, Russell S

Medbery, Russell S is an individual health care provider with primary practice located at 360 Tolland Tpke Suite 3B, Manchester CT 06042-1771. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as his primary health care specialty. Medbery, Russell S can be contacted via phone (860) 646-1157.

Contact Information

Primary practice address
360 Tolland Tpke Suite 3B Manchester CT 06042-1771
Phone: (860) 646-1157
Fax: (860) 646-9877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000040 Connecticut

Profile Details

NPI number 1104860964
LBN Legal business name Medbery, Russell S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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