Individual
RUSSELL LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
175 CROSS KEYS RD, BLDG. 300A, BERLIN, NJ 08009-9263
(856) 767-0077
(856) 767-6102
Mailing address
175 CROSS KEYS RD, BLDG. 300A, BERLIN, NJ 08009-9263
(856) 767-0077
(856) 767-6102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00589900
NJ
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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