David P Russo MD LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD043941L Issued in PA

Legal business name

DAVID P RUSSO MD LLC

Practice address

175 E Brown St
E Stroudsburg, PA 18301-3098

Phone

(570) 421-8921

Fax

(570) 424-7370

NPI assigned

Jan 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David P Russo, M.D.

Title

Owner

Phone

(570) 421-8921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1972808863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040498",
            "telephone_number": "570-208-5530",
            "fax_number": "570-208-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E BROWN ST",
            "city": "E STROUDSBURG",
            "state": "PA",
            "postal_code": "183013098",
            "telephone_number": "570-421-8921",
            "fax_number": "570-424-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P RUSSO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-421-8921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD043941L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in E Stroudsburg, PA
• Providers in E Stroudsburg, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.