Russo, Pierantonio
Russo, Pierantonio is an sole proprietor health care provider with primary practice located at 790 Township Line Rd Ste 300 , Yardley PA 19067-4262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Informatics, which is considered as his primary health care specialty. Russo, Pierantonio can be contacted via phone (215) 738-0211.Contact Information
Primary practice address
790 Township Line Rd Ste 300
Yardley PA 19067-4262
Phone: (215) 738-0211
Fax: (571) 778-5077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Informatics | 2083C0008X | MD040326E | Pennsylvania |
Profile Details
| NPI number | 1639124910 |
|---|---|
| LBN Legal business name | Russo, Pierantonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | Dec 4th, 2022 - about 4 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 | 1639124910 | NPPES |
| Missouri | MEDICAID | 205679004 | |
| Missouri | Other | P00106634 |
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