Individual
DR. MARK JOSEPH RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
PO BOX 829642, PHILADELPHIA, PA 19182-9642
(866) 470-6626
(413) 599-0470
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
234808
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA09214100
NJ
Other
Enumeration date
03/16/2009
Last updated
11/10/2023
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