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Contact Information

RUSSELL L TUVERSON JR, MD
975 FARMINGTON AVE
BRISTOL, CT06010
 Phone: 860-589-0114
 Fax: 860-589-1936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for RUSSELL L TUVERSON JR · (Male)

NPI Number 1508920588
Status Active
Credentials MD
Entity Individual
Enumeration date 12/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 021636
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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