GREGORY LOUIS DERUSSO

PHILADELPHIA, PA
NPI1316959141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MD062841L)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
Dr. GREGORY LOUIS DERUSSO M.D.
7505 BUSTLETON AVE
PHILADELPHIA, PA 19152-4136
Phone number: 215-333-7505
Mailing Address
Dr. GREGORY LOUIS DERUSSO M.D.
7505 BUSTLETON AVE
PHILADELPHIA, PA 19152-4136
Phone number: 215-333-7505