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Andres Russo
NPI 1710353370 · on the registry since 2015 · sole proprietor
Practice
- Address
- 12 School St
Lawrence, MA 01841 - Phone
- (978) 382-0522
Registry record
- Primary taxonomy
- 251S00000X
251S00000X
- Also registered as
- 101YM0800X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-18
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 Massachusetts