Russo, Glenn Gerard
Russo, Glenn Gerard is an individual health care provider with primary practice located at 120 Meadowcrest St Suite 160, Gretna LA 70056-5255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as his primary health care specialty. Russo, Glenn Gerard can be contacted via phone (504) 391-7620.Contact Information
Primary practice address
120 Meadowcrest St Suite 160
Gretna LA 70056-5255
Phone: (504) 391-7620
Fax: (504) 391-7624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 017336 | Louisiana |
Profile Details
| NPI number | 1083683445 |
|---|---|
| LBN Legal business name | Russo, Glenn Gerard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Feb 3rd, 2010 - about 14 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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