Dr. Tanya Russo
DO | Pediatrics | Female
Dr. Tanya Russo, DO is a Albemarle, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Tanya Russo is
105 Yadkin St, Suite 303, Albemarle, North Carolina - 28001-3449. She can be contacted on phone at
803-532-2208.
Dr. Tanya Russo is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Tanya Russo is
1013906098 which was assigned by NPPES on 21 Oct, 2005 and it was last updated on 02 Feb, 2017.
Dr. Tanya Russo license number is
0574 for Pediatrics (208000000X) in South Carolina.
Dr. Tanya Russo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Tanya Russo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Tanya Russo |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Dr. Tanya Russo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 105 Yadkin St, Suite 303
Albemarle, NC, 28001-3449
United States |
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| Phone Number : | 803-532-2208 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013906098 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Oct, 2005 |
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| Last Updated On : | 02 Feb, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tanya Russo are as mentioned. Primary taxonomy code for Dr. Tanya Russo, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2015-02335 | NC |
| 208000000X | Pediatrics | Yes | 0574 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Tanya Russo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1013906098 | MEDICAID | NC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 601888
Charlotte, NC, 28260-1888
United States |
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| Phone Number : | 704-982-2683 |
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| Fax Number : | 704-512-4808 |
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Business Location:
Patients can refer following map for directions to
Dr. Tanya Russo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.