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GARY E RUSSOLILLO MD PC NPI 1710128699


NPI Information

NPI: 1710128699
Provider Name: GARY E RUSSOLILLO MD PC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
970 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06107
Phone: (860) 521-2200
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GARY E RUSSOLILLO MD PC is a plastic surgery in West Hartford, CT. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. GARY E RUSSOLILLO MD PC NPI is 1710128699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

970 FARMINGTON AVE
WEST HARTFORD, CT
ZIP 06107-139
Phone: (860) 521-2200
Fax: (860) 521-2605

The provider's authorized official is Gary Edward Russolillo .
The authorized official title is President and has the following contact phone number (860) 521-2200.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/23/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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