MR. Russell S Medbery JR.
NPI #1104860964 in Manchester, Connecticut
Provider Information
- NPI Number
- 1104860964
- Entity Type
- Individual
- Name
- MR. Russell S Medbery JR.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Advanced Practice Midwife
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 360 TOLLAND TPKE
- Address 2
- SUITE 3B
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06042-1771
- Phone
- (860) 646-1157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Advanced Practice Midwife |
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