Whalio Doctors

NPI 1023033081

Jennefer Allyn Russo, MD

Practitioner Gynecology Physician Orange, CA

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
Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence A82067 (CA)
Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence MD439233 (PA)

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.