Russo, Margaret A.
Russo, Margaret A. is an sole proprietor health care provider with primary practice located at 49 Columbus Ave , Northampton MA 01060-4252. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Russo, Margaret A. can be contacted via phone (413) 320-1139.Contact Information
Primary practice address
49 Columbus Ave
Northampton MA 01060-4252
Phone: (413) 320-1139
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 79902 | Massachusetts |
Profile Details
| NPI number | 1558338533 |
|---|---|
| LBN Legal business name | Russo, Margaret A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jan 27th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558338533 | NPPES |
| Maine | Other | 469026 | TUFTS |
| Maine | MEDICAID | 110037879A | TUFTS |
| Maine | Other | J27504 | TUFTS |
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