Gregory K Russo, MD
Radiology, Diagnostic Radiology in Stratford, Connecticut
1770502361- Practice location
- 2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.c., Stratford, CT 06614-4960
- Phone
- 203-683-4570
- Fax
- 203-926-1415
- Last updated
- May 19, 2026
Gregory K Russo is a Radiology, Diagnostic Radiology based in Stratford, CT. 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 (CT). The current practice location address for Gregory K Russo is 2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.c., Stratford, CT 06614-4960 and can be reached out via phone at 203-683-4570 and via fax at 203-926-1415.
Provider Profile Details
- NPI Number
- 1770502361
- Provider Name
- Gregory K Russo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.c., Stratford, CT 06614-4960
- Phone Number
- 203-683-4570
- Fax Number
- 203-926-1415
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 18, 2006
- Last Update Date
- May 19, 2026
- Certification Date
- May 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2909 Main St
Robert D. Russo, M.d. & Associates Radiology, P.c.
Stratford, CT 06614-4960 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-4960
- Phone Number
- 203-683-4570
- Fax Number
- 203-926-1415
Provider Business Mailing Address Details
- Address
- Po Box 6128
Robert D. Russo, M.d. & Associates Radiology, P.c.
Bridgeport, CT 06606-0128 - City
- Bridgeport
- State
- CT
- Zip
- 06606-0128
- Phone Number
- 203-683-4570
- Fax Number
- 203-926-1415
License Information
- License Number (1)
- 043621
- License State (1)
- CT
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
- License Number (2)
- 112031
- License State (2)
- GA
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (3)
- 0101289406
- License State (3)
- VA
- Taxonomy (3)
- Radiology, Diagnostic Radiology · 2085R0202X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Gregory K Russo, MD?
The NPI number of Gregory K Russo, MD is 1770502361. It was assigned on July 18, 2006 and is currently active in the NPPES registry.
What is the specialty of Gregory K Russo, MD?
Gregory K Russo, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CT under license number 043621.
Where does Gregory K Russo, MD practice?
The practice location is 2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.c., Stratford, CT 06614-4960. The office can be reached at 203-683-4570 (phone) or 203-926-1415 (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 1770502361 directly on the NPPES registry website.