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Gordon J Russo, MD
Procedural Dermatology Physician in Gretna, Louisiana
NPI 1083612469

Gordon J Russo is a Procedural Dermatology Physician based in Gretna, LA and is specialized in Procedural Dermatology. Gordon J Russo practices in Gretna, LA and has the professional credentials of MD. The NPI Number for Gordon J Russo is 1083612469 and holds a License No. 015208 (Louisiana).

The current practice location address for Gordon J Russo is 120 Meadowcrest St, Gretna, LA and can be reached out via phone at 504-391-7620 and via fax at 504-391-7524.

Location: 120 Meadowcrest St, Gretna, LA, 70056-8326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083612469
Provider Name
Gordon J Russo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
120 Meadowcrest St, Gretna, LA, 70056-8326
Phone Number
504-391-7620
Fax Number
504-391-7524
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1329495 05 LA
institution
Provider Business Practice Location Address Details
Address
120 Meadowcrest St
City
Gretna
State
Louisiana
Zip
70056-5255
Phone Number
504-391-7620
Fax Number
504-391-7524
person
Provider Business Mailing Address Details
Address
120 Meadowcrest St
City
Gretna
State
Louisiana
Zip
70056-5255
Phone Number
504-391-7620
Fax Number
504-391-7524
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
015208 (Louisiana)
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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