Individual
BRIANNA CHRISTINE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 AVAS CT, VINELAND, NJ 08361-3087
(856) 230-5374
Mailing address
185 AVAS CT, VINELAND, NJ 08361-3087
(856) 230-5374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
R94580966362014
NJ
Other
Enumeration date
06/27/2026
Last updated
06/27/2026
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