Michael Russo in Marrero - Family Medicine

Michael Russo - NPI 1194887125

Michael Russo is a Family Medicine in Marrero, Louisiana. Michael Russo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Russo is 1194887125. The last update date is 2008-05-20.

Michael Russo's current location address is 1111 Medical Center Blvd, Marrero, Louisiana. You can contact this provider via phone number 5043496808 and fax number 5043496811. The mailing address for Michael Russo is 1111 Medical Center Blvd, Marrero, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Russo
Address 1111 Medical Center Blvd, Marrero, Louisiana
Phone Number 5043496808
Fax Number 5043496811
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1194887125
Provider Enumeration Date 2006-12-15
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 1111 Medical Center Blvd
City Marrero
State Louisiana (LA)
Post Code 700723151
Phone Number 5043496808
Fax Number 5043496811

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 21692
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 i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1987051 LA --

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FAQs about Michael Russo

What is the unique 10-digit identification code assigned to Michael Russo by the Centers for Medicare & Medicaid Services?

The Michael Russo has been issued the NPI (National Provider Identifier) 1194887125, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Michael Russo is physically located?

The Michael Russo is situated at the following address: 1111 Medical Center Blvd, Marrero, LA 700723151.

What is Michael Russo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael Russo is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

When was the Michael Russo's 1194887125 issued?

The Michael Russo's 1194887125 was issued on 2006-12-15.

As of what date were the details pertaining to Michael Russo last refreshed?

The information related to the Michael Russo, including its address, specialty, and other relevant details, was last updated on 2008-05-20.

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