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Gregory K Russo, MD
Diagnostic Radiology Physician in Stratford, Connecticut
NPI 1770502361

Gregory K Russo is a Diagnostic Radiology Physician based in Bridgeport, CT and is specialized in Diagnostic Radiology. Gregory K Russo practices in Stratford, CT and has the professional credentials of MD. The NPI Number for Gregory K Russo is 1770502361 and holds a License No. 043621 (Connecticut).

The current practice location address for Gregory K Russo is 2909 Main St, Stratford, CT and can be reached out via phone at 203-683-4570 and via fax at 203-926-1415. You can also correspond with Gregory K Russo through the mailing address at PO BOX 6128, BRIDGEPORT, CT - 06606-0128 (mailing address contact number: 203-683-4570).

Location: 2909 Main St, Stratford, CT, 06606-0128
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Provider Profile Details
NPI Number
1770502361
Provider Name
Gregory K Russo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2909 Main St, Stratford, CT, 06606-0128
Phone Number
203-683-4570
Fax Number
203-926-1415
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001436212 05 CT
010043621 01 CT ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
2909 Main St
City
State
Zip
06614-4960
Phone Number
203-683-4570
Fax Number
203-926-1415
person
Provider Business Mailing Address Details
Address
2909 Main St
City
State
Zip
06614-4960
Phone Number
203-683-4570
Fax Number
203-926-1415
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
043621 (Connecticut)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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