Anthony Russo, M.D., Inc.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G19800 Issued in CA

Legal business name

ANTHONY RUSSO, M.D., INC.

Practice address

1750 El Camino Real
Suite 301
Burlingame, CA 94010-3228

Phone

(650) 692-7545

Fax

(650) 692-7609

NPI assigned

Jul 17, 2008

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anthony Russo, M.D.

Title

Owner

Phone

(650) 692-7545

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1871757906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "SUITE 301",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103228",
            "telephone_number": "650-692-7545",
            "fax_number": "650-692-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "SUITE 301",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103228",
            "telephone_number": "650-692-7545",
            "fax_number": "650-692-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY RUSSO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-692-7545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G19800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.