National Provider Identifier

Gregory Christopher Russo, MD

Gregory Christopher Russo, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Boston, MA and a listed phone number of (617) 724-3874.

NPI 1912693565Boston, MAInternal Medicine Physician

Source: public NPPES record, last updated May 20, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1912693565
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
April 17, 2023
Last Updated
May 20, 2026

Practice Location

  • 55 Fruit St
  • Boston, MA 02114-2696

Phone: (617) 724-3874

Mailing Address

  • 55 Fruit St
  • Blake 1500 Hmu
  • Boston, MA 02114-2696

Specialties

  • Internal Medicine Physician (207R00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

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Full Record
NPI
1912693565
Entity Type
Individual
Last Name
Russo
First Name
Gregory
Middle Name
Christopher
Name Prefix
Dr.
Credential
MD
Mailing Street Address
55 Fruit St
Mailing Address Line 2
Blake 1500 Hmu
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02114-2696
Mailing Country
US
Mailing Phone
(585) 756-4800
Practice Street Address
55 Fruit St
Practice City
Boston
Practice State
MA
Practice ZIP Code
02114-2696
Practice Country
US
Practice Phone
(617) 724-3874
Enumeration Date
April 17, 2023
Last Updated
May 20, 2026
Sex
Male
Sole Proprietor
No
Certification Date
May 20, 2026
Taxonomies
Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)