Individual
EUGENE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, PHYSICIAN BILLING, FALLS CHURCH, VA 22042-3307
(703) 776-2545
(703) 776-2917
Mailing address
3300 GALLOWS RD, PHYSICIAN BILLING, FALLS CHURCH, VA 22042-3307
(703) 776-2545
(703) 776-2917
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101029729
VA
Other
Enumeration date
06/29/2006
Last updated
12/01/2009
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