Search › Maine › 152W00000X
Joseph Russo, O.D
NPI 1114903218 · on the registry since 2005
Practice
- Address
- 364 Maine Mall Rd Ste F128
South Portland, ME 04106 - Phone
- (207) 383-3456
- Fax
- (207) 383-3409
- Organisation at this address
- Joseph A Russo Od, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine