Individual
DR. CHRISTOPHER RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
655 PARK AVE., FREEHOLD, NJ 07728
(732) 409-6777
(732) 409-7435
Mailing address
21 ENGLISH PATH, FREEHOLD, NJ 07728
(732) 780-6399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00544700
NJ
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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