GLENN GERARD RUSSO

GRETNA, LA
NPI1083683445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207NS0135X Dermatology Procedural Dermatology
(Licence: LA  017336)
Enumeration Date2006-03-16
Last Update Date2010-02-03
Business Address
GLENN GERARD RUSSO M.D.
120 MEADOWCREST ST SUITE 160
GRETNA, LA 70056-5255
Phone number: 504-391-7620
Mailing Address
GLENN GERARD RUSSO M.D.
600 OLIVE AVE
HARVEY, LA 70058-4456
Phone number: 504-366-5035