Individual
DR. DONATO S RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1896 MORRIS AVE, 3RD FLOOR, UNION, NJ 07083-3535
(908) 687-8282
(908) 810-9363
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA05542500
NJ
207V00000X
Obstetrics & Gynecology Physician
MA55425
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201404
GHI
NJ
01
—
2054760
AETNA
NJ
01
—
2K9165
HEALTH NET
NJ
05
—
5489806
—
NJ
01
—
69H992
EMPIRE BC BS
NJ
01
—
BP279
OXFORD
NJ
Enumeration date
07/13/2006
Last updated
03/17/2022
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