Individual provider · Type 1 NPI

Jennefer Allyn Russo, MD

Gynecology Physician · Orange, CA

NPI number 1023033081 Active

Practice location

700 S. Tustin Street
Orange, CA 92866

Fax (714) 532-2522

Mailing address

300 Halket St
Pittsburgh, PA 15213-3108

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician 207VG0400XMD439233 (PA)
Gynecology Physician Primary 207VG0400XA82067 (CA)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1023033081

Jennefer Allyn Russo, MD's National Provider Identifier is 1023033081, issued on Jul 12, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Orange, CA. The record was last updated on Dec 20, 2013.