Individual
JONATHAN JOSEPH RUSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-0000
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
042.0018804
VT
207T00000X
Neurological Surgery Physician
A103488
CA
Other
Enumeration date
07/28/2009
Last updated
09/25/2025
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