Individual
GESSICA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 MAIN ST, PATERSON, NJ 07503-2212
(973) 782-5577
(973) 278-2818
Mailing address
1040 MAIN ST, PATERSON, NJ 07503-2212
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00681300
NJ
Other
Enumeration date
02/02/2017
Last updated
04/12/2018
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