SearchPennsylvania103T00000X

Pasquale Russoniello, M.A

NPI 1275740029 · on the registry since 2007 · sole proprietor

Practice

Address
366 Fairfax Rd
Drexel Hill, PA 19026
Phone
(610) 316-6944

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103TC0700X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-01

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 Pennsylvania