Individual
MR. DENNIS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-C
Contact information
Practice address
585 RIDGE RD, NORTH ARLINGTON, NJ 07031-4823
(866) 528-7272
Mailing address
214 COPELAND AVE, LYNDHURST, NJ 07071-3000
(973) 768-9932
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00494700
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00494700
NJ
Other
Enumeration date
05/19/2014
Last updated
05/07/2018
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