Individual
ANGELO RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3939 HOUMA BLVD, SUITE 6, METAIRIE, LA 70006-2931
(504) 885-0577
(504) 888-1308
Mailing address
3939 HOUMA BLVD, SUITE 6, METAIRIE, LA 70006-2931
(504) 885-0577
(504) 888-1308
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L014788
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301370
—
LA
01
—
2474374
UNITED HEALTHCARE
LA
01
—
5120511
CIGNA
LA
01
—
7975549
AETNA
LA
Enumeration date
03/03/2006
Last updated
11/05/2007
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