Robert D. Russo, Md & Associates Radiology, P.c.

NPI Provider: 1114923893
Contact Name: Ortiz Marie Judith
Position: Credentialing Coordinator
Phone: (203) 926-0600

Robert D. Russo, Md & Associates Radiology, P.c. Information:

Robert D. Russo, Md & Associates Radiology, P.c. organization have npi 1114923893, taxonomy code is 174400000X with license number is 1660N in . This Business address located in PO Box 6128, Bridgeport, CT 66060 Connecticut.

Practice Location
Address: 917 Bridgeport Ave, Shelton, CT 64844
Phone: (203) 926-0600

Business Location
Address: PO Box 6128, Bridgeport, CT 66060
Phone: (203) 926-0600
Fax: (203) 926-1410

Taxonomy

Taxonomy Code: 174400000X

License Number: 1660N

License Number of State: OH

Primary Taxonomy Switch: Y

Enumeration Date: 6/27/2005

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