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Individual
DR. JOSEPH SCOTT RUSSO
Active
Individual
DR. JOSEPH SCOTT RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02001759A
IN
207Q00000X
Family Medicine Physician
Primary
6637
CA
207Q00000X
Family Medicine Physician
DOS-873
HI
208M00000X
Hospitalist Physician
DO-03591
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355430
BLUE CROSS/BLUE SHIELD
IN
05
—
200120950
—
IN
01
—
P00186778
RAILROAD MEDICARE
IN
Enumeration date
06/24/2005
Last updated
08/18/2025
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