Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mariela Perez Russo, MD, CNS

Individual provider Nutritionist · NPI 1811474612

Mariela Perez Russo, MD, CNS is a Nutritionist in Trumbull, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.

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Practice location Address checks out

290 Booth Hill Rd
Trumbull, CT 06611-4943
Phone: (646) 255-9510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X
Nutritionist Taxonomy 133N00000X · Licence 1644 (CT)

Record details

NPI number1811474612
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , CNS
Sole proprietorYes
NPI enumeratedJuly 24, 2018
Last updated in NPPESJuly 24, 2018

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