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:
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Health care specialties

SpecialtyCodeLicense #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 15 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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