Organization
ANTHONY RUSSO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY RUSSO M.D. (OWNER)
(650) 692-7545
Entity
Organization
Contact information
Practice address
1750 EL CAMINO REAL, SUITE 301, BURLINGAME, CA 94010-3228
(650) 692-7545
(650) 692-7609
Mailing address
1750 EL CAMINO REAL, SUITE 301, BURLINGAME, CA 94010-3228
(650) 692-7545
(650) 692-7609
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G19800
CA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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