Individual provider · Type 1 NPI
Robert D. Russo, MD
Diagnostic Radiology Physician · Fairfield, CT
NPI number
1114924693
Active
Practice location
75 Kings Highway Cutoff, Suite 1A
Fairfield, CT 06824-5340
Fax (203) 538-5246
Mailing address
4695 Main St, Suite 5
Bridgeport, CT 06606-1802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 016805 (CT) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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- Christine McCarthyClinical Psychologist Fairfield, CT NPI 1720232952
- Danielle Elizabeth Dougherty, PA-CMedical Physician Assistant Fairfield, CT NPI 1215758131
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About NPI 1114924693
Robert D. Russo, MD's National Provider Identifier is 1114924693, issued on Jun 30, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fairfield, CT. The record was last updated on Mar 7, 2017.