Individual
KRISTEN L RUSSOMANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1133 21ST STREET NW, BUILDING 2, 8TH FLOOR, WASHINGTON, DC 20036
(301) 951-2400
Mailing address
110 IRVING ST NW, DEPARTMENT OF INTERNAL MEDICINE, WASHINGTON, DC 20010-3017
(202) 877-8278
(202) 877-6292
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD210002405
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2017
Last updated
09/16/2022
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