Individual provider · Type 1 NPI
Zachary Russo, PA
Medical Physician Assistant · New Britain, CT
NPI number
1679194633
Active
Practice location
100 Grand St
New Britain, CT 06052-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1679194633
Zachary Russo, PA's National Provider Identifier is 1679194633, issued on Apr 30, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Britain, CT. The record was last updated on Jul 20, 2020.