National Provider Identifier
Thomas Alan Russo, M.D., C.M.
Thomas Alan Russo, M.D., C.M. is listed in the NPPES registry with a primary specialty of Infectious Disease Physician in Buffalo, NY and a listed phone number of (716) 834-9200.
Profile Overview
- NPI
- 1801816822
- Provider Type
- Individual
- Primary Specialty
- Infectious Disease Physician
- Enumeration Date
- July 20, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 834-9200
Mailing Address
- 3435 Main St
- Brb, Room 141
- Buffalo, NY 14214-3001
Specialties
- Infectious Disease Physician (207RI0200X)
Full Record
- NPI
- 1801816822
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Thomas
- Middle Name
- Alan
- Name Prefix
- Dr.
- Credential
- M.D., C.M.
- Mailing Street Address
- 3435 Main St
- Mailing Address Line 2
- Brb, Room 141
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-3001
- Mailing Country
- US
- Mailing Phone
- (716) 829-2674
- Mailing Fax
- (716) 829-3889
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 834-9200
- Enumeration Date
- July 20, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Infectious Disease Physician (207RI0200X)