Russo, Christopher J

Russo, Christopher J is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134-1011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Russo, Christopher J can be contacted via phone (215) 427-5369.

Contact Information

Primary practice address
160 E Erie Ave Philadelphia PA 19134-1011
Phone: (215) 427-5369
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD070605L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X C1000 Delaware

Profile Details

NPI number 1346298379
LBN Legal business name Russo, Christopher J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 8th, 2022 - about 3 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 1346298379 NPPES
Pennsylvania MEDICAID 0018166710001

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