Russo, Anthony

Russo, Anthony is an sole proprietor health care provider with primary practice located at 219 20Th Ave , Santa Cruz CA 95062-4953. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Russo, Anthony can be contacted via phone (650) 483-7703.

Contact Information

Primary practice address
219 20Th Ave Santa Cruz CA 95062-4953
Phone: (650) 483-7703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G19800 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G19800 California

Profile Details

NPI number 1831148287
LBN Legal business name Russo, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2006
Last updated Dec 10th, 2022 - about 2 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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