Individual
CHRISTOPHER RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
19 MAIN ST, FARMINGDALE, NJ 07727-1218
(908) 216-7094
Mailing address
19 MAIN ST, FARMINGDALE, NJ 07727-1332
(908) 216-7094
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00726800
NJ
Other
Enumeration date
07/21/2015
Last updated
02/05/2016
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