Individual
MELISSA B RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.026387
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05973785
—
MS
05
—
1058114
—
LA
Enumeration date
06/18/2007
Last updated
11/28/2007
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