Christopher J Russo
Pediatric Emergency Physician Pediatric Emergency Doctor
1600 Rockland Road
Wilmington
, Delaware 19803-3607
Christopher J Russo
Pediatric Emergency Physician Pediatric Emergency Doctor
1600 Rockland Road
Wilmington
, Delaware 19803-3607
(302) 651-4945
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Christopher J Russo
- P.o. Box 191
- Rockland, DE
- Zip : 19723-0191
- Fax : (302) 651-4945
- Phone : (302) 651-4000
Second Address
- Christopher J Russo
- 1600 Rockland Road
- Wilmington, DE
- Zip : 19803-3607
- Fax : (302) 651-4193
- Phone : (302) 651-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | C1000 | DE |
| N | 2080P0204X | Pediatric Emergency Doctor | MD070605L | PA |
National Provider Identifier
| NPI | 1346298379 |
|---|---|
| Provider Name | Christopher J Russo |
| First Address | Rockland, DE 19723-0191 |
| Second Address | Wilmington, DE 19803-3607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 05/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0018166710001 | (05) | PA |
| I01224 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.