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Contact Information

TIFFANY RUSS, DO
950 HARRY S TRUMAN DR N
SUITE 140
LARGO, MD20707
 Phone: 855-527-7246
 Fax: 866-229-5063
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for TIFFANY RUSS · (Female)

NPI Number 1255893731
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/03/2019
Last updated 06/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A21027
Hospital affiliation(s) Not Available
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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