Individual
PATRICIA MARIA RUSSO-MAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 453-7950
(401) 453-7658
Mailing address
111 BREWSTER ST, DEPARTMENT OF EMERGENCY MEDICINE, PAWTUCKET, RI 02860-4400
(401) 729-2890
(401) 729-3594
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD10353
RI
207RP1001X
Pulmonary Disease Physician
MD10353
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7008358
—
RI
Enumeration date
12/09/2005
Last updated
05/04/2021
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