Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Concetta M Russell, PA

Individual provider Physician Assistant · NPI 1942429584

Concetta M Russell, PA is a Physician Assistant in Worcester, Massachusetts. Licensed in Massachusetts and New York. Registered with an NPI since 2007.

Licensed in
MA, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

123 Summer St Ste 590
Worcester, MA 01608-1216
Phone: (508) 852-0600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2518 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 000062-1 (NY)

Record details

NPI number1942429584
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 24, 2007
Last updated in NPPESNovember 12, 2008

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