Dello Russo, Robert Gerard

Dello Russo, Robert Gerard is an individual health care provider with primary practice located at 109 Warren Ave , Boston MA 02116-6103. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Dello Russo, Robert Gerard can be contacted via phone (617) 484-4146.

Contact Information

Primary practice address
109 Warren Ave Boston MA 02116-6103
Phone: (617) 484-4146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2943 Massachusetts

Profile Details

NPI number 1609867670
LBN Legal business name Dello Russo, Robert Gerard
Credentials PH.D., LADC I
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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