GLENN RUSSO, M.D.

Dermatology - Procedural Dermatology

Active Individual
NPI: 1083683445

Practice Address

120 MEADOWCREST ST
SUITE 160
Gretna, LA 70056

Phone: (504) 391-7620

Specialties

Specialty Code Primary License
Dermatology - Procedural Dermatology 207NS0135X Yes 017336 (LA)

Frequently Asked Questions

NPI 1083683445 is the National Provider Identifier for GLENN RUSSO, M.D., a Dermatology - Procedural Dermatology provider located in Gretna, LA. This NPI was enumerated on March 16, 2006.
GLENN RUSSO, M.D. practices at 120 MEADOWCREST ST, SUITE 160, Gretna, LA 70056.

Quick Facts

NPI
1083683445
Type
Individual
Enumerated
Mar 16, 2006
Last Updated
Feb 3, 2010

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