NPI 1528300639

Chloe Lan Russo, MD

Practitioner Allergy & Immunology Physician Marietta, GA

Practice location

Address: 3747 Roswell Rd STE 205, Marietta, GA 30062-6227
Phone: (470) 956-9050
Fax: (678) 560-4339
Mailing address: 377 Roswell St NE STE 205, Marietta, GA 30060

Registered specialties (2)

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 76158 (GA)

Other Allergy & Immunology providers in Georgia →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 76158 (GA)

Other Pediatrics providers in Georgia →

Registry record

NPI: 1528300639
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2013
Record last updated: 31 Oct 2019

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.