Individual provider · Type 1 NPI
Aidan Russo, PHYSICIAN ASSISTANT
Medical Physician Assistant · Livingston, NJ
NPI number
1689259772
Active
Practice location
15 Longview Rd
Livingston, NJ 07039-3621
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 1689259772
Aidan Russo, PHYSICIAN ASSISTANT's National Provider Identifier is 1689259772, issued on Mar 10, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Livingston, NJ. The record was last updated on Mar 10, 2021.