Individual
MELISSA MELENDEZ RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
2035 LINCOLN HWY, EDISON, NJ 08817-3351
(732) 974-0404
(732) 449-4271
Mailing address
2315 ROUTE 34, MANASQUAN, NJ 08736-1444
(732) 974-0404
(732) 449-4271
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MB10895400
NJ
Other
Enumeration date
04/18/2017
Last updated
09/21/2021
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