Dr. Melissa Lauren Russo
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
101 Plain St Fl 6
Providence
, Rhode Island 02903-4829
Dr. Melissa Lauren Russo
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
101 Plain St Fl 6
Providence
, Rhode Island 02903-4829
(401) 453-7622
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Melissa Lauren Russo
- 101 Dudley St
- Providence, RI
- Zip : 02905-2499
- Fax : (401) 453-7622
- Phone : (401) 274-1122
Second Address
- Dr. Melissa Lauren Russo
- 101 Plain St Fl 6
- Providence, RI
- Zip : 02903-4829
- Fax : (401) 453-7622
- Phone : (401) 274-1122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | MD15891 | RI |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 274564 | MA |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD15891 | RI |
National Provider Identifier
| NPI | 1205034519 |
|---|---|
| Provider Name | Dr. Melissa Lauren Russo |
| First Address | Providence, RI 02905-2499 |
| Second Address | Providence, RI 02903-4829 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2007 |
| Last Update Date | 16/02/2021 |
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.