Individual
DR. MELCHIORRE JOSEPH RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 VALLEY RD, CLIFTON, NJ 07013-1121
(973) 279-5116
(973) 279-8899
Mailing address
128 VALLEY RD, CLIFTON, NJ 07013-1121
(973) 279-5116
(973) 279-8899
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
MA48796
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103907
—
NJ
Enumeration date
03/29/2006
Last updated
07/09/2008
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