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Dr. Pierre Russo, MD
Specialist in Philadelphia, Pennsylvania
NPI 1114077054

Pierre Russo is a Specialist based in Philadelphia, PA. Pierre Russo practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Pierre Russo is 1114077054 and holds a License No. MD031088E (Pennsylvania).

The current practice location address for Pierre Russo is 3400 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-590-2266 and via fax at 215-590-2171.

Location: 3400 Civic Center Blvd, Philadelphia, PA, 19104-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114077054
Provider Name
Pierre Russo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3400 Civic Center Blvd, Philadelphia, PA, 19104-4306
Phone Number
215-590-2266
Fax Number
215-590-2171
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4306
Phone Number
215-590-2266
Fax Number
215-590-2171
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4306
Phone Number
215-590-2266
Fax Number
215-590-2171
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD031088E (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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