Individual provider · Type 1 NPI

Manuel Antonio Garcia Russo, MD

Surgery Physician · Philadelphia, PA

NPI number 1407605850 Active

Practice location

3401 N Broad St Ste 400
Philadelphia, PA 19140-5103

Call (215) 707-3133 Map

Mailing address

2229 S Darien St
Philadelphia, PA 19148-3105

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XMT230753 (PA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1407605850

Manuel Antonio Garcia Russo, MD's National Provider Identifier is 1407605850, issued on May 17, 2024. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Philadelphia, PA. The record was last updated on May 17, 2024.