Individual
LOUIS RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
246 PLEASANT ST., MEMORIAL BUILDING, WEST, GROUND FLOOR, CONCORD, NH 03301-2548
(603) 224-1725
(603) 227-7557
Mailing address
246 PLEASANT ST., MEMORIAL BUILDING, WEST, GROUND FLOOR, CONCORD, NH 03301-2548
(603) 224-1725
(603) 227-7557
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101263233
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
014997
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
20944
NH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD050220L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102709991
—
PA
Enumeration date
08/11/2006
Last updated
12/01/2020
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