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Contact Information

ANTHONY RUSSO, MD
500 GYPSY LANE
YOUNGSTOWN, OH44501
 Phone: 330-884-4250
 Fax: 330-884-0651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANTHONY RUSSO · (Male)

NPI # 1366890410
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2016
Last updated 08/20/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 35.136883
Hospital affiliation(s)
  • SURGICAL HOSPITAL AT SOUTHWOODS - (Acute Care)
    7630 SOUTHERN BLVD
    YOUNGSTOWN, OH 44512
  • TRUMBULL MEMORIAL HOSPITAL - (Acute Care)
    1350 EAST MARKET STREET
    WARREN, OH 44482
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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