IndividualActive
Schon Russell, HEALTH SERVICE TECH
NPI 1083689871 · Other Technician · New London, CT
Provider details
- NPI number
- 1083689871
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- HEALTH SERVICE TECH
- Sex
- Male
Practice location
15 Mohegan Ave
New London, CT 06320-8100
Phone: (860) 444-8402
Fax: (860) 444-8413
Mailing address
Uscg Hq, Comdt (cg-1122)
Washington, DC 20593-0001
Registry dates
- Enumerated
- 2006-02-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.