| John Michael Russo | |
|
6315 Forbes Ave Ste 125c Pittsburgh PA 15217-1745 | |
| (412) 515-5746 | |
| Not Available |
| Full Name | John Michael Russo |
|---|---|
| Speciality | Social Worker |
| Location | 6315 Forbes Ave Ste 125c, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | John Michael Russo (OWNER) |
| Authorized Official Contact | 4125155746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Russo 111 N Park St Monroeville PA 15146-4013 Ph: (412) 515-5746 | John Michael Russo 6315 Forbes Ave Ste 125c Pittsburgh PA 15217-1745 Ph: (412) 515-5746 |
| NPI Number | 1326846825 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326846825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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