Robert Russo, MD

NPI #1740293661 in San Carlos, California

Provider Information

NPI Number: 1740293661
Entity Type: Individual
Name: Robert Russo, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 14, 2006
Last Updated: Nov 14, 2016

Practice Location

Address: 301 INDUSTRIAL RD
City: San Carlos
State: California
ZIP Code: 94070-2603
Phone: (650) 596-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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