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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHEN A RUSSO, PA-C

Active

STEPHEN A RUSSO, PA-C is a Physician Assistant healthcare provider located in LITITZ, Pennsylvania. NPI 1063783074 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LITITZ, PA

Registration Details

NPI Number
1063783074
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2012 (14.511953996998 yrs)
Last Updated
Apr 9, 2021
Licenses
PA9106297 (FL)
MA057357 (PA)

Practice Information

Address
1500 HIGHLANDS DR
LITITZ, PA, 175437694
Browse PA providers · Browse ZIP 17543
Phone
7179880000
Fax
7177825716
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LITITZ, PA

Name Credential NPI
MR. MATTHEW DIRODIO PAC 1215982210
MR. WILLIAM BUCKNER PAC 1598704645
JULIE MARIE BURROWES PA-C 1639261746
JONATHAN DARREN LEHMAN PA-C 1841340148
MS. SARAH R LISKEY PA-C 1427246446
MRS. STEPHANIE LYNN ASHTON PA-C 1285871590
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.