Individual
DR. MELANIE E RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
685 BLOOMFIELD AVE, SUITE 103, VERONA, NJ 07044-1630
(973) 239-3311
(973) 239-3312
Mailing address
685 BLOOMFIELD AVE, SUITE 103, VERONA, NJ 07044-1630
(973) 239-3311
(973) 239-3312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10178110
NJ
Other
Enumeration date
08/31/2006
Last updated
09/11/2015
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