Individual
RONALD L VISCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
83 HANOVER ROAD, SUITE 290, FLORHAM PARK, NJ 07932-1520
(973) 736-2212
(973) 736-2989
Mailing address
83 HANOVER ROAD, SUITE 290, FLORHAM PARK, NJ 07932-1520
(973) 736-2212
(973) 736-2989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02403300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121901
—
NJ
Enumeration date
09/26/2006
Last updated
11/02/2011
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