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

Mario Russo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982464855

Mario Russo is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 36475 Five Mile Rd, Livonia, MI 48154-1971 — (734) 655-4800

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1982464855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

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