Gordon J Russo MD

  • NPI 1083612469
According to our database, the NPI number for Gordon J Russo MD is 1083612469 and activated since 18 years ago. Gordon J Russo MD is an individual provider who specializes in Procedural Dermatology, and the primary practice location is 120 Meadowcrest St, Gretna, LA 70056. You can also contact Gordon J Russo MD via telephone number is (504) 391-7620. Provider NPI information was last updated on 02/03/2010.

Recently Active NPIs

Overview of Gordon J Russo MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/11/2005
  • Last updated: 02/03/2010

Primary Scrop of Practice

  • Taxonomy Code: 207NS0135X
  • Specialty: Procedural Dermatology
  • License Number: 015208
  • License State: LA

Provider Mailing Address

  • Address: 3725 Lake Michael Ct
    Gretna, LA 70056
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 120 Meadowcrest St
    Suite 160
    Gretna, LA 70056
  • Phone: 504-391-7620
  • Fax: 504-391-7524

Scope of Practice

  • Taxonomy Code: 207NS0135X
  • Specialty: Procedural Dermatology
  • License Number: 015208
  • License State: LA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1329495
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gordon J Russo MD?
  • A: The npi number for Gordon J Russo MD is 1083612469.
  • Q: What are Gordon J Russo MD's specialties?
  • A: Gordon J Russo MD's specialties are Procedural Dermatology and different specialities.
  • Q: What is the medical license for Gordon J Russo MD?
  • A: The medical license number for Gordon J Russo MD is 015208 and issued in LA in USA.
  • Q: Where is Gordon J Russo MD practice location?
  • A: Gordon J Russo MD is practicing at 120 Meadowcrest St, Gretna, LA 70056.
  • Q: How to contact Gordon J Russo MD?
  • A: You can contact Gordon J Russo MD via 504-391-7620.