Most Relevant Information
Provider Data
| NPI Number: | 1003043548 |
| Provider Name: | ANDREA L RUSSO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0001X |
| Specialty: | Radiology |
| License Number: | L-240167 |
Most Important Dates
| Enumeration Date: | 06/11/2009 |
| Last Updated: | 04/16/2018 |
Provider Practice Location
2014 WASHINGTON ST
NEWTON
MA
024621607
Practice Location Phone/Fax
| Phone: | 6172191200 |
| Fax: |
Provider Mailing Location
2014 WASHINGTON STREET
VERNON CANCER CENTER/MGH RADIATION ONCOLOGY
NEWTON
MA
02462
Provider Mailing Phone/Fax
| Phone: | 6172191200 |
| Fax: |