Individual provider · Type 1 NPI

Corrine M. Russo, PA-C

Physician Assistant · Columbia, MD

NPI number 1093236945 Active

Practice location

8860 Columbia 100 Pkwy Ste 400
Columbia, MD 21045

Fax (410) 964-4412

Mailing address

3700 College Ave Apt 402
Ellicott City, MD 21043-4641

Other practice locations

  • 2001 Medical Pkwy, Annapolis, MD 21401-3773 · (443) 481-1000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

3 other providers at this address

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About NPI 1093236945

Corrine M. Russo, PA-C's National Provider Identifier is 1093236945, issued on Jun 30, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbia, MD. The record was last updated on Jul 9, 2018.