Individual
DR. GLENN SCOTT RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
05/18/2026
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