NPI: 1114923893
Provider Name: ORTHOPAEDIC SPECIALTY GROUP, P.C.
Doing Business As: ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C.
Classification: Radiology - 2085R0202X
Entity Type: Organization
Specialization: Diagnostic Radiology
Address:
305 BLACK ROCK TPKE
FAIRFIELD, CT
ZIP 06825
Phone: (203) 337-2600
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ORTHOPAEDIC SPECIALTY GROUP, P.C. is a diagnostic radiology radiology in Fairfield, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ORTHOPAEDIC SPECIALTY GROUP, P.C. NPI is 1114923893. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Robert D. Russo, M.d. & Associates Radiology, P.c..
The provider's business location address is:
305 BLACK ROCK TPKE
FAIRFIELD, CT
ZIP 06825
Phone: (203) 337-2600
The provider's authorized official is Judith Ortiz .
The authorized official title is Credentialing Coordinator and has the following contact phone number (203) 538-5233.
The enumeration date for this NPI number is 6/27/2005 and was last updated on 12/14/2018.