Joseph L Russino MD, LLC
Obstetrics & Gynecology, Obstetrics in Malvern, PA. Organization (NPI-2).
NPI number1144775511
StatusActive
Last updated in NPPESAug 16, 2016
Details
- NPI
- 1144775511
- Entity type
- Organization (NPI-2)
- Legal business name
- Joseph L Russino MD, LLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2016
- Last updated
- Aug 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology, Obstetrics | MD027472E | PA | Yes |
Practice location
462 E King RdMalvern, PA 19355-3267
Phone 484-383-8118 · Fax 484-383-8119
Mailing address
462 E King RdMalvern, PA 19355-3267
Phone 484-383-8118 · Fax 484-383-8119
Authorized official
Joseph L Russino
Owner/Physician
4843838118
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