person
Dr. Joseph Vito Russo, MD
Student in an Organized Health Care Education/Training Program in Memphis, Tennessee
NPI 1588042675

Joseph Vito Russo is a Student in an Organized Health Care Education/Training Program based in Memphis, TN. Joseph Vito Russo practices in Memphis, TN and has the professional credentials of MD. The NPI Number for Joseph Vito Russo is 1588042675 and holds a License No. (Tennessee).

The current practice location address for Joseph Vito Russo is 910 Madison Ave, Memphis, TN and can be reached out via phone at 901-448-5814.

Location: 910 Madison Ave, Memphis, TN, 38103-3403
person
Provider Profile Details
NPI Number
1588042675
Provider Name
Joseph Vito Russo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
910 Madison Ave, Memphis, TN, 38103-3403
Phone Number
901-448-5814
Fax Number
Provider Enumeration Date
05/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
910 Madison Ave
City
State
Zip
38103-3403
Phone Number
901-448-5814
Fax Number
person
Provider Business Mailing Address Details
Address
910 Madison Ave
City
State
Zip
38103-3403
Phone Number
901-448-5814
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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