| Mark B Russi, MD | |
|
135 College St, Third Floor, New Haven, CT 06510-2483 | |
| (203) 785-4197 | |
| (203) 785-7391 |
| Full Name | Mark B Russi |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine |
| Experience | 37 Years |
| Location | 135 College St, New Haven, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285615591 | NPI | - | NPPES |
| 001325960 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | 032596 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yale University | 9436061736 | 2632 |
| Entity Name | Yale University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark B Russi, MD 135 College St, Third Floor, New Haven, CT 06510-2483 Ph: (203) 785-4197 | Mark B Russi, MD 135 College St, Third Floor, New Haven, CT 06510-2483 Ph: (203) 785-4197 |
Dr. Jonathan Borak, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 234 Church St, New Haven, CT 06510 Phone: 203-777-6611 Fax: 203-777-1411 |
Dr. James L. Hadler, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 172 E Rock Rd, New Haven, CT 06511 Phone: 203-772-1746 |
Oyebode A Taiwo, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519 Phone: 203-785-2140 Fax: 203-785-6414 |
Dr. Peter Edward Amato Sr., MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 175 Sherman Ave, New Haven, CT 06511 Phone: 203-789-5173 |