Individual
DR. GLENN SCOTT RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 407-3508
(203) 672-0842
Mailing address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 626-0160
(203) 294-6734
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
61129
CT
207XS0117X
Orthopaedic Surgery of the Spine Physician
61129
CT
Other
Enumeration date
05/08/2012
Last updated
02/17/2026
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