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MICHAEL B. RUSSO MD INC NPI 1588957500


NPI Information

NPI: 1588957500
Provider Name: MICHAEL B. RUSSO, MD, INC

Doing Business As: HONOLULU NEUROSCIENCE CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
250 WARD AVE
STE 170
HONOLULU, HI
ZIP 96814
Phone: (301) 775-8731
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MICHAEL B. RUSSO, MD, INC is a specialist in Honolulu, HI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MICHAEL B. RUSSO, MD, INC NPI is 1588957500. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Honolulu Neuroscience Clinic.

The provider's business location address is:

250 WARD AVE
STE 170
HONOLULU, HI
ZIP 96814-015
Phone: (301) 775-8731

The provider's authorized official is Michael Brian Russo .
The authorized official title is Owner, Doctor and has the following contact phone number (301) 775-8731.

The enumeration date for this NPI number is 5/24/2011 and was last updated on 4/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist14968HAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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