Individual
MRS. GINA F. RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 PLEASANT ST STE 6073, CONCORD, NH 03301-7539
(603) 227-7000
(603) 227-7191
Mailing address
250 PLEASANT ST STE 6073, CONCORD, NH 03301-7539
(603) 227-7000
(603) 227-7191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0562
NH
Other
Enumeration date
09/01/2006
Last updated
07/10/2019
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