Robert Dante Russo Jr. (NPI# 1114924693, PAC ID# 8426097494) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1114924693 |
| PAC ID by PECOS | 8426097494 |
| Professional Enrollment ID | I20100812000310 |
| Full Name | Robert Dante Russo Jr. |
| Organization Legal Name | MEDICAL SPECIALTY GROUP, P.C. |
| Address |
75 Kings Hwy Cutoff 1a Fairfield CT 06824-5340 |
| Phone Number | 2036834530 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8820037898 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 75 Kings Hwy Cutoff, 1a, Fairfield, CT 06824-5340 | 2036834530 | MEDICAL SPECIALTY GROUP, P.C. |
| 75 Kings Hwy Cutoff, Fairfield, CT 06824-5340 | 2036834530 | MEDICAL SPECIALTY GROUP, P.C. |
| Organization Legal Name | MEDICAL SPECIALTY GROUP, P.C. |
| Physicians | 1 |
| Street Address |
75 KINGS HWY CUTOFF 1A |
| City | FAIRFIELD |
| State | CT |
| Zip | 06824-5340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Mccarthy | Clinical Psychologist | Associated Neurologists of Southern Connecticut, P.C. | 75 Kings Hwy Cutoff, Fairfield, CT 06824-5340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence D Ludwig | Psychologist, Clinical | 75 Hillside Rd, Fairfield, CT 06824-2840 | |
| Linda M Ludwig | Psychologist, Clinical | 75 Hillside Rd, Fairfield, CT 06824-2840 | |
| Michael Tobet | Chiropractic | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| David P Isenberg | Psychologist, Clinical | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| Maxine D Greenberg | Clinical Social Worker | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| Maryellen Walpole | Clinical Social Worker | 400 Stillson Rd, Fairfield, CT 06824-3103 | |
| Elba I Crespo | Psychologist, Clinical | 60 Katona Dr, Suite 25, Fairfield, CT 06824-3544 | |
| Angelica Fontanez | Clinical Social Worker | Fairfield Counseling Group LLC | 60 Katona Dr, Fairfield, CT 06824-3544 |
| Susan Lipman Henry | Clinical Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | |
| Rose Mary Chuley | Psychologist, Clinical | 21 Sigwin Dr, Fairfield, CT 06824-4005 | |
| Find all physicians in zip 06824 | |||
| City | FAIRFIELD |
| Zip Code | 06824 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FAIRFIELD + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.