Individual provider · Type 1 NPI

Michael James Russo, PA C

Surgical Physician Assistant · Salisbury, MD

NPI number 1952551749 Active

Practice location

1675 Woodbrooke Dr
Salisbury, MD 21804-8502

Call (410) 749-4154 Map

Fax (410) 860-9583

Mailing address

PO Box 69709
Baltimore, MD 21264-9709

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC03866 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1952551749

Michael James Russo, PA C's National Provider Identifier is 1952551749, issued on Sep 29, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salisbury, MD. The record was last updated on Aug 15, 2025.