Stephen Russo, PH.D

NPI 1902041825 · on the registry since 2008

Practice

Address: 3300 Township Line Rd
Drexel Hill, PA 19026
Phone: (484) 818-2225
Fax: (866) 818-4032
Organisation at this address: Sunshine Therapy Club
Edmonds And Associates
Edmonds & Associates Llc
Sunshine Therapy Club Ii Inc
Philadelphia Concussion Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: 103T00000X
103T00000X
Also registered as: 103TE1100X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-02-08

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