Individual
DR. CARMINE CARLO RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
6 PROSPECT ST, SUITE 1A, MIDLAND PARK, NJ 07432-1606
(201) 445-5555
(201) 445-5057
Mailing address
6 PROSPECT ST, SUITE 1A, MIDLAND PARK, NJ 07432-1606
(201) 445-5555
(201) 445-5057
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI018375
NJ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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