Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY EDWARD RUSSOLILLO, M.D.
Active Sole ProprietorDR. GARY EDWARD RUSSOLILLO, M.D. is a Plastic Surgery healthcare provider located in WEST HARTFORD, Connecticut. NPI 1518046358 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · WEST HARTFORD, CT
Registration Details
- NPI Number
- 1518046358
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2006 (19.787438320925 yrs)
- Last Updated
- Jul 1, 2021
- License
-
014345 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
970 FARMINGTON AVESUITE 21WEST HARTFORD, CT, 061072139Browse CT providers · Browse ZIP 06107
- Phone
- 8605212200
- Fax
- 8605212605
- Primary Specialty
-
Plastic Surgery
208200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.