Russo, Joseph Patrick

Russo, Joseph Patrick is an individual health care provider with primary practice located at 95 Highland Ave Ste 130 , Bethlehem PA 18017-9483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Russo, Joseph Patrick can be contacted via phone (610) 868-1100.

Contact Information

Primary practice address
95 Highland Ave Ste 130 Bethlehem PA 18017-9483
Phone: (610) 868-1100
Fax: (610) 868-1111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD423931 Pennsylvania

Profile Details

NPI number 1679528921
LBN Legal business name Russo, Joseph Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Feb 27th, 2019 - about 5 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 1679528921 NPPES
Pennsylvania MEDICAID 101143600

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