Organization
NEW JERSEY ORTHOPAEDICS SPORTS & SPINE INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER PETER RUSSONIELLO MD (OWNER)
(908) 668-4410
Entity
Organization
Contact information
Practice address
5 PROGRESS ST, EDISON, NJ 08820
(908) 668-4410
(908) 668-0024
Mailing address
5 PROGRESS ST, EDISON, NJ 08820
(908) 668-4410
(908) 668-0024
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
09/08/2006
Last updated
10/24/2008
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