Individual
DR. MELISSA LAUREN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 PLAIN ST FL 6, PROVIDENCE, RI 02903-4829
(401) 274-1122
(401) 453-7622
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2499
(401) 274-1122
(401) 453-7622
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD15891
RI
207VM0101X
Maternal & Fetal Medicine Physician
274564
MA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD15891
RI
Other
Enumeration date
07/07/2007
Last updated
07/12/2024
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