NPI 1023033081
Jennefer Allyn Russo, MD
Practice location
- Address
- 700 S. Tustin Street, Orange, CA 92866
- Phone
- (714) 633-6373
- Fax
- (714) 532-2522
- Mailing address
- 300 Halket St, Pittsburgh, PA 15213-3108
Registered specialties (2)
Gynecology Physician
Primary
Gynecology Physician
Registry record
- NPI
- 1023033081
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jul 2006
- Record last updated
- 20 Dec 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.