Robert D Russo, MD | |
75 Kings Highway Cutoff, Suite 1a, Fairfield, CT 06824-5340 | |
(203) 815-1877 | |
(203) 538-5246 |
Full Name | Robert D Russo |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 75 Kings Highway Cutoff, Fairfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114924693 | NPI | - | NPPES |
001168053 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 016805 (Connecticut) | Primary |
Entity Name | Orthopaedic Specialty Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558313767 PECOS PAC ID: 8820037898 Enrollment ID: O20050428000802 |
Mailing Address | Practice Location Address |
---|---|
Robert D Russo, MD 4695 Main St, Suite 5, Bridgeport, CT 06606-1802 Ph: (203) 538-5233 | Robert D Russo, MD 75 Kings Highway Cutoff, Suite 1a, Fairfield, CT 06824-5340 Ph: (203) 815-1877 |
Rajiv Sharma, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 Kings Hwy E Ste 109, Fairfield, CT 06825 Phone: 203-330-0248 | |
Gioia Jo Riccio, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Post Rd, Fairfield, CT 06824 Phone: 203-683-4520 Fax: 203-926-1410 | |
Daniel Jacob Machleder, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1305 Post Rd, Suite 202, Fairfield, CT 06824 Phone: 203-426-2926 Fax: 203-292-6376 |