Russo, Michael James

Russo, Michael James is an individual health care provider with primary practice located at 1675 Woodbrooke Dr , Salisbury MD 21804-8502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Russo, Michael James can be contacted via phone (410) 749-4154.

Contact Information

Primary practice address
1675 Woodbrooke Dr Salisbury MD 21804-8502
Phone: (410) 749-4154
Fax: (410) 860-9583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C03866 Maryland

Profile Details

NPI number 1952551749
LBN Legal business name Russo, Michael James
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Sep 29th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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