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

Individual provider Internal Medicine Physician · NPI 1588717177

Dr. Stefani Ann Russo, MD is an Internal Medicine Physician in Philadelphia, Pennsylvania. Licensed in Connecticut, New York, Pennsylvania and South Carolina. Registered with an NPI since 2007.

Licensed in
CT, NY, PA, SC
In the registry since
2007
Specialties on file
4
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

700 Walnut St Fl 2
Philadelphia, PA 19106-3505
Phone: (215) 503-4779
Fax: (215) 503-4922
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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD456132 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 046659 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 259999 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 36913 (SC)

Record details

NPI number1588717177
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESSeptember 21, 2018

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