RUSSELL S MEDBERY

MANCHESTER, CT
NPI1104860964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: CT  000040)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
Mr. RUSSELL S MEDBERY
360 TOLLAND TPKE SUITE 3B
MANCHESTER, CT 06042-1771
Phone number: 860-646-1157
Mailing Address
Mr. RUSSELL S MEDBERY
360 TOLLAND TPKE SUITE 3B
MANCHESTER, CT 06042-1771
Phone number: 860-646-1157
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