Joseph Michael Russo JR., PA

NPI #1366322950 in Springfield, Vermont

Provider Information

NPI Number
1366322950
Entity Type
Individual
Name
Joseph Michael Russo JR., PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Sep 4, 2025
Last Updated
Oct 24, 2025

Practice Location

Address
25 RIDGEWOOD RD
State
Vermont
ZIP Code
05156-3050
Phone
(802) 885-2151

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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