Russo, Zachary

Russo, Zachary is an individual health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Russo, Zachary can be contacted via phone (860) 224-5011.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Phone: (860) 224-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1679194633
LBN Legal business name Russo, Zachary
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2020
Last updated Jul 20th, 2020 - about 6 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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