Individual
MS. MADISON JULIA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 PROSPECT ST, NASHUA, NH 03060-3924
(603) 883-1626
Mailing address
22 PROSPECT ST, NASHUA, NH 03060-3924
(603) 883-1626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2191
NH
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
06/20/2024
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