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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIELA PEREZ RUSSO, MD, CNS

Active Sole Proprietor

Nutritionist · TRUMBULL, CT

Registration Details

NPI Number
1811474612
Provider Type
Individual
Gender
Female
NPI Issued
Jul 24, 2018 (7.783795390218 yrs)
Last Updated
Jul 24, 2018
License
1644 (CT)
Sole Proprietor
Yes

Practice Information

Address
290 BOOTH HILL RD
TRUMBULL, CT, 066114943
Browse CT providers · Browse ZIP 06611
Phone
6462559510
Primary Specialty
Nutritionist
133N00000X
Additional Specialty
Nutritionist

Other Nutritionist Providers in TRUMBULL, CT

Name Credential NPI
MR. GILBERT M. SALTMAN M.S. 1437299492
SUSAN M MAURER MS, CNS 1114123270
CATHERINE JOY DIEHL MS, CNS 1477201820
JOY MORRISON CDN, MS, CNS-C 1679452916
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.