Russolillo, Gary Edward

Russolillo, Gary Edward is an sole proprietor health care provider with primary practice located at 970 Farmington Ave Suite 21, West Hartford CT 06107-2139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Russolillo, Gary Edward can be contacted via phone (860) 521-2200.

Contact Information

Primary practice address
970 Farmington Ave Suite 21 West Hartford CT 06107-2139
Phone: (860) 521-2200
Fax: (860) 521-2605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 014345 Connecticut

Profile Details

NPI number 1518046358
LBN Legal business name Russolillo, Gary Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jul 1st, 2021 - about 5 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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