Individual
JOSEPH MICHAEL RUSSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
25 RIDGEWOOD RD, SPRINGFIELD, VT 05156-3050
(802) 885-2151
Mailing address
PO BOX 203, GREAT MEADOWS, NJ 07838-0203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VT
Other
Enumeration date
09/04/2025
Last updated
10/24/2025
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