Individual
DR. LEONARD MICHAEL RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
186 FAIRFIELD RD, FAIRFIELD, NJ 07004-2423
(973) 227-3338
(973) 227-0887
Mailing address
39 JOHN ST, FAIRFIELD, NJ 07004-1438
(973) 224-5755
(973) 227-0887
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00400500
NJ
Other
Enumeration date
02/26/2007
Last updated
11/20/2008
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