DR. Daniel Alexander Russo, MD

NPI #1740718212 in Lititz, Pennsylvania

Provider Information

NPI Number: 1740718212
Entity Type: Individual
Name: DR. Daniel Alexander Russo, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: May 30, 2017
Last Updated: Jun 14, 2020

Practice Location

Address: 562 W 2ND AVE
City: Lititz
State: Pennsylvania
ZIP Code: 17543-1816
Phone: (717) 626-2167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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