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1619913969
SCOTT MICHAEL RUSSO
PORTLAND, ME
NPI
1619913969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ME 2024)
Enumeration Date
2006-06-22
Last Update Date
2018-02-16
Business Address
Dr. SCOTT MICHAEL RUSSO D.O.
144 STATE ST
PORTLAND, ME 04101-3776
Phone number: 207-879-3000
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Mailing Address
Dr. SCOTT MICHAEL RUSSO D.O.
144 STATE ST
PORTLAND, ME 04101-3776
Phone number: 207-879-3265
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