Patrick J Russo in Gastonia - Nuclear Cardiology

Patrick J Russo - NPI 1861490195

Patrick J Russo is a Nuclear Cardiology in Gastonia, North Carolina. Patrick J Russo practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Patrick J Russo is 1861490195. The last update date is 2017-06-08.

Patrick J Russo's current location address is 2555 Court Dr, Gastonia, North Carolina. You can contact this provider via phone number 7048683256 and fax number 7048685870. The mailing address for Patrick J Russo is 2555 Court Dr, Gastonia, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick J Russo
Address 2555 Court Dr, Gastonia, North Carolina
Phone Number 7048683256
Fax Number 7048685870
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1861490195
Provider Enumeration Date 2005-07-11
Last Updated Date 2017-06-08

Provider Mailing Address Detail

Address 2555 Court Dr
City Gastonia
State North Carolina (NC)
Post Code 280542134
Phone Number 7048683256
Fax Number 7048685870

Provider's Primary Taxonomy Detail

Speciality Nuclear Cardiology
Taxonomy 207Un0901X
Licence No 200301049
Definition:
A nuclear medicine physician who specializes in nuclear cardiology.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
891345R NC --
N01046 SC --

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FAQs about Patrick J Russo

What is the Patrick J Russo's unique identification number?

The Patrick J Russo has been assigned the NPI (National Provider Identifier) Number 1861490195 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Patrick J Russo is geographically located?

The Patrick J Russo is physically situated at the following location: 2555 Court Dr, Gastonia, NC, 280542134.

What is the Patrick J Russo's specialty and taxonomy code?

The Patrick J Russo's specialty is Nuclear Cardiology, and the corresponding taxonomy code is 207Un0901X.

On what date did the Patrick J Russo receive the assignment of its 1861490195 from the Centers for Medicare & Medicaid Services?

The Patrick J Russo was issued its 1861490195 by the Centers for Medicare & Medicaid Services on 2005-07-11.

When was the information related to Patrick J Russo most recently updated or refreshed?

The details pertaining to the Patrick J Russo, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-06-08.

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