person
Mary Bertha Russo-colt, DO
Family Medicine Physician in Erie, Pennsylvania
NPI 1790780427

Mary Bertha Russo-colt is a Family Medicine Physician based in Erie, PA. Mary Bertha Russo-colt practices in Erie, PA and has the professional credentials of DO. The NPI Number for Mary Bertha Russo-colt is 1790780427 and holds a License No. OS006175L (Pennsylvania).

The current practice location address for Mary Bertha Russo-colt is 1202 State St, Erie, PA and can be reached out via phone at 814-454-4530 and via fax at 814-456-2375. You can also correspond with Mary Bertha Russo-colt through the mailing address at 1202 STATE ST, ERIE, PA - 16501-1914 (mailing address contact number: 814-454-4530).

Location: 1202 State St, Erie, PA, 16501-1914
person
Provider Profile Details
NPI Number
1790780427
Provider Name
Mary Bertha Russo-colt
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1202 State St, Erie, PA, 16501-1914
Phone Number
814-454-4530
Fax Number
814-456-2375
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001168615 01 PA PA MEDICAID
institution
Provider Business Practice Location Address Details
Address
1202 State St
City
State
Zip
16501-1914
Phone Number
814-454-4530
Fax Number
814-456-2375
person
Provider Business Mailing Address Details
Address
1202 State St
City
State
Zip
16501-1914
Phone Number
814-454-4530
Fax Number
814-456-2375
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
OS006175L (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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