Russo, Michael Bernard

Russo, Michael Bernard is an individual health care provider with primary practice located at 2605 Keiser Blvd , Wyomissing PA 19610-3338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Russo, Michael Bernard can be contacted via phone (610) 685-8500.

Contact Information

Primary practice address
2605 Keiser Blvd Wyomissing PA 19610-3338
Fax: (610) 685-4833
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD 431352 Pennsylvania

Profile Details

NPI number 1033181219
LBN Legal business name Russo, Michael Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 16th, 2010 - about 14 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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