Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Pierre Russo, MD

Individual provider Specialist · NPI 1114077054

Dr. Pierre Russo, MD is a Specialist in Philadelphia, Pennsylvania. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Civic Center Blvd
Philadelphia, PA 19104-4306
Phone: (215) 590-2266
Fax: (215) 590-2171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD031088E (MD)

Record details

NPI number1114077054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJuly 8, 2007

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