MICHAEL J RUSSO

HARTFORD, CT
NPI1346447513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  001911)
Enumeration Date2007-06-29
Last Update Date2018-03-17
Business Address
MICHAEL J RUSSO PA
85 SEYMOUR ST STE 200
HARTFORD, CT 06106-5509
Phone number: 860-246-9589
Mailing Address
MICHAEL J RUSSO PA
111 FOUNDERS PLZ STE 400
EAST HARTFORD, CT 06108-3240
Phone number: 860-289-3375
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