Active NPIIndividual provider

Dr. Joseph A Russo, MD

Specialist in Newton Centre, Massachusetts

NPI Number1598732240
Practice location
575 Boylston St, Suite 2, Newton Centre, MA 02459-2740
Fax
617-964-7833
Last updated
July 8, 2007

Joseph A Russo is a Specialist based in Newton Centre, MA. Joseph A Russo practices in Newton Centre, MA and has the professional credentials of MD. The NPI Number for Joseph A Russo is 1598732240 and holds a License No. 80064 (MA). The current practice location address for Joseph A Russo is 575 Boylston St, Suite 2, Newton Centre, MA 02459-2740 and can be reached out via phone at 617-964-1440 and via fax at 617-964-7833.

Provider Profile Details

NPI Number
1598732240
Provider Name
Joseph A Russo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
575 Boylston St, Suite 2, Newton Centre, MA 02459-2740
Phone Number
617-964-1440
Fax Number
617-964-7833
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
March 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
575 Boylston St
Suite 2
Newton Centre, MA 02459-2740
Zip
02459-2740
Phone Number
617-964-1440
Fax Number
617-964-7833
Newton Centre, MA 02459Get directions →

Provider Business Mailing Address Details

Address
575 Boylston St
Suite 2
Newton Centre, MA 02459-2740
City
Newton Centre
State
MA
Zip
02459-2740
Phone Number
617-964-1440
Fax Number
617-964-7833

License Information

License Number
80064
License State
MA
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Joseph A Russo, MD?

The NPI number of Dr. Joseph A Russo, MD is 1598732240. It was assigned on March 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Joseph A Russo, MD?

Dr. Joseph A Russo, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number 80064.

Where does Dr. Joseph A Russo, MD practice?

The practice location is 575 Boylston St, Suite 2, Newton Centre, MA 02459-2740. The office can be reached at 617-964-1440 (phone) or 617-964-7833 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598732240 directly on the NPPES registry website.

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