Jennefer Allyn Russo
Gynecologist
700 S. Tustin Street
Orange
, California 92866
Jennefer Allyn Russo
Gynecologist
700 S. Tustin Street
Orange
, California 92866
(412) 641-1133
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Jennefer Allyn Russo
- 300 Halket St
- Pittsburgh, PA
- Zip : 15213-3108
- Fax : (412) 641-1133
- Phone : (412) 641-3464
Second Address
- Jennefer Allyn Russo
- 700 S. Tustin Street
- Orange, CA
- Zip : 92866
- Fax : (714) 532-2522
- Phone : (714) 633-6373
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | A82067 | CA |
| N | 207VG0400X | Gynecologist | MD439233 | PA |
National Provider Identifier
| NPI | 1023033081 |
|---|---|
| Provider Name | Jennefer Allyn Russo |
| First Address | Pittsburgh, PA 15213-3108 |
| Second Address | Orange, CA 92866 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 20/12/2013 |
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.