Individual
CECILIA ROSE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 S WASHINGTON AVE STE 1000, SCRANTON, PA 18505-3805
(570) 941-0603
Mailing address
1620 MAIN ST, OLYPHANT, PA 18447-1334
(570) 336-3718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA066309
PA
363A00000X
Physician Assistant
Primary
OA007149
PA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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