NPI 1083689871

Schon C Russell, HEALTHSERVICETECH

Practitioner Other Technician New London, CT

Practice location

Address: 15 Mohegan Ave, New London, CT 06320-8100
Phone: (860) 444-8402
Fax: (860) 444-8413
Mailing address: Uscg Hq, Comdt (cg-1122) 2100 2nd Street, Rm 5314, Washington, DC 20593-0001

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Connecticut →

Registry record

NPI: 1083689871
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.