Stephen A Russo, PA-C
NPI #1063783074 in Lititz, Pennsylvania
Provider Information
- NPI Number
- 1063783074
- Entity Type
- Individual
- Name
- Stephen A Russo, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 23, 2012
- Last Updated
- Apr 9, 2021
Practice Location
- Address
- 1500 HIGHLANDS DR
- City
- Lititz
- State
- Pennsylvania
- ZIP Code
- 17543-7694
- Phone
- (717) 988-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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