Individual
JENNEFER ALLYN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 S. TUSTIN STREET, ORANGE, CA 92866
(714) 633-6373
(714) 532-2522
Mailing address
300 HALKET ST, PITTSBURGH, PA 15213-3108
(412) 641-3464
(412) 641-1133
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A82067
CA
207VG0400X
Gynecology Physician
MD439233
PA
Other
Enumeration date
07/12/2006
Last updated
12/20/2013
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