Michael B. Russo, Md, INC

NPI #1588957500 in Honolulu, Hawaii

Provider Information

NPI Number: 1588957500
Entity Type: Organization
Organization Name: Michael B. Russo, Md, INC
Primary Specialty: Specialist
Enumeration Date: May 24, 2011
Last Updated: Dec 10, 2024

Practice Location

Address: 320 WARD AVE STE 107
City: Honolulu
State: Hawaii
ZIP Code: 96814-4016
Phone: (808) 294-3332

Authorized Official

Name: DR. MICHAEL BRIAN RUSSO, M.D
Title: OWNER, DOCTOR
Phone: (301) 775-8731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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