Individual
AMY L RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
495 WATCHUNG AVE, WATCHUNG, NJ 07069-4945
(908) 561-1247
Mailing address
402 MAY AVE, SOUTH PLAINFIELD, NJ 07080-5115
(908) 759-8062
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
25MG00157600
NJ
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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