Russino, Joseph L

Russino, Joseph L is an individual health care provider with primary practice located at 700 E Norwegian St , Pottsville PA 17901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Russino, Joseph L can be contacted via phone (570) 621-4000.

Contact Information

Primary practice address
700 E Norwegian St Pottsville PA 17901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD027472-E Pennsylvania

Profile Details

NPI number 1134169972
LBN Legal business name Russino, Joseph L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 9th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134169972 NPPES
Pennsylvania Other 4088946 AETNA
Pennsylvania Other RU98885 AETNA
Pennsylvania Other 0052844000 AETNA

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