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Patrick J Russo JR., MD
Cardiovascular Disease Physician in Gastonia, North Carolina
NPI 1861490195

Patrick J Russo JR. is a Cardiovascular Disease Physician based in Gastonia, NC and is specialized in Cardiovascular Disease. Patrick J Russo JR. practices in Gastonia, NC and has the professional credentials of MD. The NPI Number for Patrick J Russo JR. is 1861490195 and holds a License No. 26794 (North Carolina).

The current practice location address for Patrick J Russo JR. is 2555 Court Dr, Gastonia, NC and can be reached out via phone at 704-868-3256 and via fax at 704-868-5870. You can also correspond with Patrick J Russo JR. through the mailing address at 2555 COURT DR, GASTONIA, NC - 28054-2134 (mailing address contact number: 704-868-3256).

Location: 2555 Court Dr, Gastonia, NC, 28054-2134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861490195
Provider Name
Patrick J Russo JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2555 Court Dr, Gastonia, NC, 28054-2134
Phone Number
704-868-3256
Fax Number
704-868-5870
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
891345R 05 NC
N01046 05 SC
institution
Provider Business Practice Location Address Details
Address
2555 Court Dr
City
Gastonia
State
North Carolina
Zip
28054-2134
Phone Number
704-868-3256
Fax Number
704-868-5870
person
Provider Business Mailing Address Details
Address
2555 Court Dr
City
Gastonia
State
North Carolina
Zip
28054-2134
Phone Number
704-868-3256
Fax Number
704-868-5870
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
200301049 (North Carolina)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
26794 (South Carolina)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
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