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
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
04/30/2026
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