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Individual
LOUIS RUSSO
Active
Individual
LOUIS RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101263233
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
014997
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20944
NH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD050220L
PA
Other
Enumeration date
08/11/2006
Last updated
12/01/2020
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