Russo-Magno, Patricia Maria

Russo-Magno, Patricia Maria is an individual health care provider with primary practice located at 101 Dudley St , Providence RI 02905-2401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Russo-Magno, Patricia Maria can be contacted via phone (401) 453-7950.

Contact Information

Primary practice address
101 Dudley St Providence RI 02905-2401
Phone: (401) 453-7950
Fax: (401) 453-7658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD10353 Rhode Island
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD10353 Rhode Island

Profile Details

NPI number 1184609422
LBN Legal business name Russo-Magno, Patricia Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated May 4th, 2021 - 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 1184609422 NPPES
Rhode Island MEDICAID 7008358

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