Individual provider · Type 1 NPI

Mario Russo

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1982464855 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Call (617) 726-2000 Map

Other practice locations

  • 36475 Five Mile Rd, Livonia, MI 48154-1971 · (734) 655-4800

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982464855

Mario Russo's National Provider Identifier is 1982464855, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 4, 2025.