Russo, Joseph M

Russo, Joseph M is an individual health care provider with primary practice located at 9712 Belair Rd Ste Ll3 , Nottingham MD 21236-1110. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Russo, Joseph M can be contacted via phone (410) 256-6060.

Contact Information

Primary practice address
9712 Belair Rd Ste Ll3 Nottingham MD 21236-1110
Phone: (410) 256-6060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 01096 Maryland

Profile Details

NPI number 1336225994
LBN Legal business name Russo, Joseph M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Mar 21st, 2024 - about 9 months 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 1336225994 NPPES
Maryland MEDICAID 083068200
Maryland Other E602

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