NPI 1013946417

Matthew John Russo, MSCCCA

Practitioner Audiologist Peabody, MA

Practice location

Address: 7 Essex Green Dr Suite 2, Peabody, MA 01960-2961
Phone: (978) 532-6650
Mailing address: PO Box 406153, Atlanta, GA 30384-1876

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 777 (MA)

Other Audiologist providers in Massachusetts →

Registry record

NPI: 1013946417
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2006
Record last updated: 14 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.