Russo, Angelo

Russo, Angelo is an individual health care provider with primary practice located at 3939 Houma Blvd Suite 6, Metairie LA 70006-2931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Russo, Angelo can be contacted via phone (504) 885-0577.

Contact Information

Primary practice address
3939 Houma Blvd Suite 6 Metairie LA 70006-2931
Phone: (504) 885-0577
Fax: (504) 888-1308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X L014788 Louisiana

Profile Details

NPI number 1437126810
LBN Legal business name Russo, Angelo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Nov 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437126810 NPPES
Louisiana Other 5120511 CIGNA
Louisiana Other 7975549 CIGNA
Louisiana MEDICAID 1301370 CIGNA
Louisiana Other 2474374 CIGNA

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