| Doctor Name: | DR. ANDREA L RUSSO |
| NPI Number: | 1003043548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | L-240167 |
| Business Practice Address: | 75 Francis St Brigham And Women's Hospital, Asb1 L2 Boston, MA - 021156110 |
| Business Phone Number: | 6177326310 |
| Business Fax Number: | |
| Mailing Address: | 75 Francis St, Brigham And Women's Hospital, Asb1 L2 BOSTON |
| State: | MA |
| Postal Code: | 021156110 |
| Phone Number: | 6177326310 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2009 |
| NPI Last Update Date: | 08/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | L-240167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |