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Individual
DR. STEFANI ANN RUSSO
Active
Individual
DR. STEFANI ANN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
046659
CT
207R00000X
Internal Medicine Physician
259999
NY
207R00000X
Internal Medicine Physician
36913
SC
207R00000X
Internal Medicine Physician
Primary
MD456132
PA
Other
Enumeration date
01/19/2007
Last updated
09/21/2018
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