Individual
DR. JOHN ANTHONY RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 PLEASANT VALLEY WAY STE 201, WEST ORANGE, NJ 07052-2956
(973) 736-8119
(973) 736-6818
Mailing address
1500 PLEASANT VALLEY WAY STE 201, WEST ORANGE, NJ 07052-2956
(973) 736-8119
(973) 736-6818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA44815
NJ
Other
Enumeration date
02/25/2007
Last updated
11/01/2007
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