Russo, Mark William

Russo, Mark William is an individual health care provider with primary practice located at 1126 N Church St Ste 201, Greensboro NC 27401-1000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Transplant Hepatology is his primary health care specialty. Russo, Mark William can be contacted via phone (336) 235-0866.

Contact Information

Primary practice address
1126 N Church St Ste 201 Greensboro NC 27401-1000
Phone: (336) 235-0866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9500209 North Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 9500209 North Carolina
Allopathic & Osteopathic Physicians / Transplant Hepatology 207RT0003X 9500209 North Carolina

Profile Details

NPI number 1588745392
LBN Legal business name Russo, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 15th, 2024 - about 2 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.

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