Individual
ANNA MATTEA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
280 CHESTNUT ST, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Mailing address
211 LANCASTER DR, AGAWAM, MA 01001-2287
(413) 519-7131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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