Robert D. Russo, M.D. & Associates Radiology, P.C.

LBN: Orthopaedic Specialty Group, P.C.
Robert D. Russo, M.D. & Associates Radiology, P.C. is an health care organization with primary practice located at 305 Black Rock Tpke , Fairfield CT 06825. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Orthopaedic Specialty Group, P.C. can be contacted via phone (203) 337-2600, or through Ortiz, Judith via phone (203) 538-5233.

Contact Information

Primary practice address
305 Black Rock Tpke Fairfield CT 06825
Phone: (203) 337-2600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ortiz, Judith
Phone: (203) 538-5233

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 016805 Connecticut

Profile Details

NPI number 1114923893
LBN Legal business name Orthopaedic Specialty Group, P.C.
DBA Doing business as Robert D. Russo, M.D. & Associates Radiology, P.C.
Authorized official Ortiz, Judith
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Dec 14th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114923893 NPPES
Connecticut MEDICAID 004107894

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