Individual
JOHN MARSHALL RUSSO JR.
Active
Individual
JOHN MARSHALL RUSSO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
35084874
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2501028
—
OH
01
—
4137752
CGS - MEDICARE
OH
05
—
64086051
—
KY
Enumeration date
09/27/2005
Last updated
05/14/2026
Update your record
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