Gary E Russolillo (NPI# 1518046358, PAC ID# 5395786222) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1518046358 |
| PAC ID by PECOS | 5395786222 |
| Professional Enrollment ID | I20050520000178 |
| Full Name | Gary E Russolillo |
| Address |
7 Court St Westfield MA 01085-3502 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220065 | BAYSTATE NOBLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 970 Farmington Ave, Suite 21, West Hartford, CT 06107-2139 | ||
| 7 Court St, Westfield, MA 01085-3502 |
| Street Address |
7 COURT ST |
| City | WESTFIELD |
| State | MA |
| Zip | 01085-3502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay Reed Kimberley | Optometry | 7 Court St, Montpelier, VT 05602-2856 | |
| Nancy E Brinkwart | Nurse Practitioner | County of Allegany | 7 Court St, Belmont, NY 14813-1076 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Schepart | Internal Medicine | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Kayla O Malley | Podiatry | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Charlotte Harward Miller | Internal Medicine | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Ashley M Hoffman | Physician Assistant | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Elizabeth A Armstrong | Internal Medicine | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Sarah Oshea | Internal Medicine | Riverbend Medical Group Inc | 395 Southampton Rd, Westfield, MA 01085-1324 |
| Kelly D Burek | Podiatry | 150 Southampton Rd, Westfield, MA 01085-1370 | |
| John A Thayer | Ophthalmology | 501 Southampton Rd D, Westfield, MA 01085-1592 | |
| Ricki Ellen Kantrowitz | Psychologist, Clinical | 94 N Elm St, Suite 301a, Westfield, MA 01085-1641 | |
| Erin L Fitzgerald | Physical Therapy | 94 N Elm St, Suite 310, Westfield, MA 01085-1641 | |
| Find all physicians in zip 01085 | |||
| City | WESTFIELD |
| Zip Code | 01085 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | WESTFIELD + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Gary E Russolillo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.