Individual
MARK RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1133 21ST ST NW FL 5, WASHINGTON, DC 20036-3390
(202) 416-2000
(202) 785-5040
Mailing address
1133 21ST ST NW, WASHINGTON, DC 20036-3390
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD049367
DC
Other
Enumeration date
06/09/2015
Last updated
06/21/2023
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