Antoinette Marie Russolello, PA-C

NPI #1750008207 in North Haven, Connecticut

Provider Information

NPI Number: 1750008207
Entity Type: Individual
Name: Antoinette Marie Russolello, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 25, 2022
Last Updated: Oct 25, 2022

Practice Location

Address: 370 BASSETT RD
City: North Haven
State: Connecticut
ZIP Code: 06473-4201
Phone: (845) 214-6736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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