Russo, Robert Anthony

Russo, Robert Anthony is an individual health care provider with primary practice located at 321 Washington St , Gloucester MA 01930-4837. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Russo, Robert Anthony can be contacted via phone (978) 281-1337.

Contact Information

Primary practice address
321 Washington St Gloucester MA 01930-4837
Fax: (978) 281-7573
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20806 Massachusetts

Profile Details

NPI number 1891720066
LBN Legal business name Russo, Robert Anthony
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 19 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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