MEDICARE: DR. RUSSELL PHILIP MAGGIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	161925	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010161925	OTHER	NY	BLUE CHOICE
2	MD198C	OTHER	NY	PREFERRED CARE
3	1392	OTHER	NY	BLUE SHIELD

General Provider Information

NPI Number	:	1518932441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL PHILIP MAGGIO M.D.

Provider Business Mailing Address
First Line	:	125 LATTIMORE RD
Second Line	:	SUITE 256
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4159
Country	:	US
Telephone Number	:	585-271-5250
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 LATTIMORE RD
Second Line	:	SUITE 256
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4159
Country	:	US
Telephone Number	:	585-271-5250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	09/25/2007

Similar Medicare Providers

1750373767 — SHARON REGAN P. T.
Practice Location Address:

125 LATTIMORE RD , SUITE 178
ROCHESTER, NY
14620-4159

Practice Phone: 585-442-9110
Practice Fax: 585-442-9049

1942299128 — DR. STUART S HANTMAN M.D.
Practice Location Address:

125 LATTIMORE RD
ROCHESTER, NY
14620-4159

Practice Phone: 585-241-6400
Practice Fax: 585-241-6505

1922074269 — HUBERT F RIEGLER M.D.
Practice Location Address:

125 LATTIMORE RD , SUITE 100
ROCHESTER, NY
14620-4159

Practice Phone: 585-473-1033
Practice Fax: 585-473-8605

1215903562 — JOHN D MARQUARDT M.D.
Practice Location Address:

125 LATTIMORE RD , SUITE 100
ROCHESTER, NY
14620-4159

Practice Phone: 585-473-1033
Practice Fax: 585-473-8605

1437125614 — LATTIMORE ORTHOPAEDICS, P.C.
Practice Location Address:

125 LATTIMORE RD , SUITE 100
ROCHESTER, NY
14620-4159

Practice Phone: 585-473-1033
Practice Fax: 585-473-8605

1427018811 — STEPHEN MICHAEL RAUH M.D.
Practice Location Address:

125 LATTIMORE RD , SUITE 270
ROCHESTER, NY
14620-4159

Practice Phone: 585-244-5670
Practice Fax: 585-244-4298

Directions to “ DR. RUSSELL PHILIP MAGGIO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.