FREDRICK MATTHEW RUSSO

PORTER RANCH, CA
NPI1457370074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  C41689)
Enumeration Date2006-07-18
Last Update Date2014-04-03
Business Address
-- FREDRICK MATTHEW RUSSO MD.
19950 RINALDI ST
PORTER RANCH, CA 91326-4141
Phone number: 818-403-2420
Mailing Address
-- FREDRICK MATTHEW RUSSO MD.
PO BOX 9602
MISSION HILLS, CA 91346-9602
Phone number: 818-837-5691
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