Michael Bernard Russo M.D.

NPI 1033181219 - Internal Medicine - 207RC0000X

NPI Details
NPI 1033181219
Gender Male
Enumeration Date 02/02/2006
Last Updated 07/16/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
2605 KEISER BLVD
WYOMISSING PA, 19610-3338, US
Phone (610) 685-8500
Fax (610) 685-4833
Business Location
2605 KEISER BLVD
WYOMISSING PA, 19610-3338, US
Phone (610) 685-8500
Fax (610) 685-4833
Toxanomy
Taxonomy Code 207RC0000X
License State Pennsylvania
License Number MD 431352
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According to our database, Dr. Michael Bernard Russo M.D. NPI is 1033181219, taxonomy code is 207RC0000X and license number is MD 431352, license state is located at Pennsylvania. Michael Bernard Russo M.D. physically located at 2605 Keiser Blvd, Wyomissing PA, 19610-3338. NPI Number Michael Bernard Russo M.D. has the Individual type.

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1033181219 NPI number is provided on an as is basis without warranty of any kind. 1033181219 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Bernard Russo M.D. are for informational purposes only.