Russo, Mark William
Russo, Mark William is an individual health care provider with primary practice located at 1126 N Church St Ste 201, Greensboro NC 27401-1000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Transplant Hepatology is his primary health care specialty. Russo, Mark William can be contacted via phone (336) 235-0866.Contact Information
Primary practice address
1126 N Church St Ste 201
Greensboro NC 27401-1000
Phone: (336) 235-0866
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9500209 | North Carolina |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 9500209 | North Carolina |
Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | 9500209 | North Carolina |
Profile Details
NPI number | 1588745392 |
---|---|
LBN Legal business name | Russo, Mark William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2006 |
Last updated | Jul 15th, 2024 - about last year |
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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