Individual
DR. ANTHONY RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 GYPSY LANE, YOUNGSTOWN, OH 44501
(330) 884-4250
(330) 884-0651
Mailing address
130 OAK TREE DR, CANFIELD, OH 44406-9295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.136883
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2016
Last updated
08/20/2019
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