Individual
GREGORY K RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2909 MAIN ST, ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C., STRATFORD, CT 06614-4960
(203) 683-4570
(203) 926-1415
Mailing address
PO BOX 6128, ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C., BRIDGEPORT, CT 06606-0128
(203) 683-4570
(203) 926-1415
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101289406
VA
2085R0202X
Diagnostic Radiology Physician
Primary
043621
CT
2085R0202X
Diagnostic Radiology Physician
112031
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001436212
—
CT
01
—
010043621
ANTHEM BC/BS
CT
Enumeration date
07/18/2006
Last updated
05/19/2026
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