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Individual

ARMANDO RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1102 E CHESTNUT AVE, VINELAND, NJ 08360-5002
(856) 690-1025
(856) 690-1352
Mailing address
PO BOX 173, MILLVILLE, NJ 08332-0173
(856) 690-1025
(856) 690-1352

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000273100
AMERICHOICE
NJ
01
027416
AMERIHEALTH
NJ
01
1028423
HORIZON NJ HEALTH
NJ
01
2K6450
HEALTHNET
NJ
01
81287
81287
NJ
01
CBP023
OXFORD
NJ
Enumeration date
07/19/2006
Last updated
09/24/2018
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