Individual
DR. MICHAEL PAUL RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4222 LINCOLN HWY, YORK, PA 17406-8083
(717) 812-7800
(717) 812-7811
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-7800
(717) 812-7811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD023752E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000985796
—
PA
01
—
0068412000
AMERIHEALTH 65 PA
PA
01
—
03124601
CAPITAL BLUE CROSS-WMG
PA
01
—
032661
JOHNS HOPKINS
PA
05
—
053883300
—
MD
01
—
086178
HIGHMARK BLUE SHIELD
PA
01
—
1142793
AMERIHEALTH MERCY-WMG
PA
01
—
1517480
GATEWAY-WMG
PA
01
—
20072397
AMERIHEALTH MERCY-YHOBGYN
PA
01
—
30115669
AMERIHEALTH MERCY - WMG
PA
01
—
30120490
AMERIHEALTH MERCY - YH
PA
01
—
348556
MAMSI-WMG
PA
01
—
36693
GEISINGER
PA
01
—
4545155
AETNA
PA
01
—
524955
CAREFIRST MD BCBS
MD
01
—
81659
UNISON-WMG
PA
Enumeration date
07/10/2006
Last updated
07/22/2017
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