IndividualActive
Mark Russo, M.D.
NPI 1619357282 · Otolaryngology Physician · Washington, DC
Provider details
- NPI number
- 1619357282
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD049367 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1133 21st St Nw Fl 5
Washington, DC 20036-3390
Phone: (202) 416-2000
Fax: (202) 785-5040
Approximate (ZIP-level) locationGet directions
Mailing address
1133 21st St Nw
Washington, DC 20036-3390
Registry dates
- Enumerated
- 2015-06-09
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.