| Doctor Name: | DR. RUSSELL L MAIESE |
| NPI Number: | 1093794356 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036583 |
| Business Practice Address: | 1 Greenwich Pl Shelton, CT - 064844618 |
| Business Phone Number: | 8664369631 |
| Business Fax Number: | 2039292344 |
| Mailing Address: | 14275 Midway Rd, Suite 400 ADDISON |
| State: | TX |
| Postal Code: | 750013614 |
| Phone Number: | 8664369631 |
| Fax Number: | 6102714245 |
| NPI Enumeration Date: | 01/13/2006 |
| NPI Last Update Date: | 05/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207ZH0000X |
| License Number: | 036583 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pathology |
| Taxonomy Specialization: | Hematology |
| Taxonomy Definition: | A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |