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Search › Vermont › 175F00000X

Sam Russo, N.D., LAC, RMSK

NPI 1891828398 · on the registry since 2007

Practice

Address
321 Main St Ste B
Winooski, VT 05404
Phone
(802) 636-4133
Fax
(833) 464-3117
Organisation at this address
Mcgrx Inc
Walgreen Co
Timberlane Foot Fairy Llc
Jonathan E. Fenton D.O., P.C.
Timberlane Physical Therapy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
175F00000X
175F00000X
Also registered as
171100000X
2083S0010X
208D00000X
Licence states on file
VT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Vermont