Organization
DONATO S. RUSSO M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONATO S RUSSO M.D. (OWNER)
(908) 687-3894
Entity
Organization
Contact information
Practice address
1896 MORRIS AVE, 3RD FLOOR, UNION, NJ 07083-3535
(908) 687-8282
(908) 810-9293
Mailing address
1896 MORRIS AVE, 3RD FLOOR, UNION, NJ 07083-3535
(908) 687-8282
(908) 810-9293
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
25MA05542500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP279
OXFORD
NJ
Enumeration date
06/04/2007
Last updated
08/22/2020
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