National Provider Identifier

Jeanne Russo, PA-C

Jeanne Russo, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (176) 414-4861.

NPI 1518418318Boston, MAPhysician Assistant

Source: public NPPES record, last updated October 30, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1518418318
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 18, 2016
Last Updated
October 30, 2024

Practice Location

  • 725 Albany Street, Suite 3B
  • Shapiro Bldg.
  • Boston, MA 02118-2308

Phone: (176) 414-4861

Mailing Address

  • 720 Harrison Ave
  • Dob 503
  • Boston, MA 02118-2371

Specialties

  • Physician Assistant (363A00000X)

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Biography

Jeanne Russo, PA-C, is a Boston-based certified physician assistant with Dana-Farber Cancer Institute. She is listed as a member of Dana-Farber’s Stem Cell Transplant Care Team, a multidisciplinary program caring for patients undergoing stem cell transplantation.

Full Record
NPI
1518418318
Entity Type
Individual
Last Name
Russo
First Name
Jeanne
Credential
PA-C
Mailing Street Address
720 Harrison Ave
Mailing Address Line 2
Dob 503
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02118-2371
Mailing Country
US
Practice Street Address
725 Albany Street, Suite 3B
Practice Address Line 2
Shapiro Bldg.
Practice City
Boston
Practice State
MA
Practice ZIP Code
02118-2308
Practice Country
US
Practice Phone
(176) 414-4861
Practice Fax
(617) 414-3617
Enumeration Date
October 18, 2016
Last Updated
October 30, 2024
Sex
Female
Sole Proprietor
No
Certification Date
October 30, 2024
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
PA5910 (MA), 3143566 (NH)