National Provider Identifier

Russell Philip Maggio, M.D.

Russell Philip Maggio, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 271-5250.

NPI 1518932441Rochester, NYInternal Medicine Physician

Profile Overview

NPI
1518932441
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
February 22, 2006
Last Updated
September 25, 2007

Practice Location

  • 125 Lattimore RD
  • Suite 256
  • Rochester, NY 14620-4159

Phone: (585) 271-5250

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1518932441
Entity Type
Individual
Last Name
Maggio
First Name
Russell
Middle Name
Philip
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
125 Lattimore RD
Mailing Address Line 2
Suite 256
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4159
Mailing Country
US
Mailing Phone
(585) 271-5250
Practice Street Address
125 Lattimore RD
Practice Address Line 2
Suite 256
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4159
Practice Country
US
Practice Phone
(585) 271-5250
Enumeration Date
February 22, 2006
Last Updated
September 25, 2007
Sex
Male
Sole Proprietor
Yes
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
010161925 (NY, Blue Choice), MD198C (NY, Preferred Care), 1392 (NY, Blue Shield)