Individual provider · Type 1 NPI
Gabrielle Russillo, PA-C
Physician Assistant · Florham Park, NJ
Practice location
222 Columbia Tpke Ste 280
Florham Park, NJ 07932-1299
Fax (973) 800-1949
Mailing address
801 York St
Manitowoc, WI 54220-4630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00713400 (NJ) |
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…
2 other providers at this address
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About NPI 1154054955
Gabrielle Russillo, PA-C's National Provider Identifier is 1154054955, issued on Jul 8, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Florham Park, NJ. The record was last updated on Jun 2, 2026.