Individual
DR. JOSEPH BRUNO LARUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2908 CENTRAL AVE, SUITE 100, BIRMINGHAM, AL 35209-2506
(205) 933-5599
(205) 930-2611
Mailing address
2908 CENTRAL AVE, SUITE 100, BIRMINGHAM, AL 35209-2506
(205) 933-5599
(205) 930-2611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00016064
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51039854
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/20/2006
Last updated
08/18/2015
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