Michael B Russo Md, INC

NPI #1871972232 in Honolulu, Hawaii

Provider Information

NPI Number: 1871972232
Entity Type: Organization
Organization Name: Michael B Russo Md, INC
Primary Specialty: Specialist
Enumeration Date: May 19, 2015
Last Updated: Jun 11, 2019

Practice Location

Address: 250 WARD AVE
Address 2: SUITE #170
City: Honolulu
State: Hawaii
ZIP Code: 96814-4015
Phone: (808) 294-3332

Authorized Official

Name: MICHAEL BRIAN RUSSO, MD
Title: OWNER
Phone: (808) 294-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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