Individual
DR. GREGORY A. RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC - RADIOLOGY ONCOLOGY, LEBANON, NH 03756-1000
(603) 650-6600
Mailing address
1 MEDICAL CENTER DR, DHMC - RADIOLOGY ONCOLOGY, LEBANON, NH 03756-1000
(603) 650-6600
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
042.0013271
VT
2085R0001X
Radiation Oncology Physician
Primary
17279
NH
2085R0001X
Radiation Oncology Physician
235496
MA
Other
Enumeration date
05/23/2007
Last updated
10/27/2015
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