David P Russo
Surgeon Internist - Addiction Medicine
133 Polk Ln
Bridgeton
, New Jersey 08302-5905
David P Russo
Surgeon Internist - Addiction Medicine
133 Polk Ln
Bridgeton
, New Jersey 08302-5905
(800) 761-7575
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About
Features
Specialties
- Internist - Addiction Medicine
- Surgeon
Languages spoken
- English
Location
First Address
- David P Russo
- 133 Polk Ln
- Bridgeton, NJ
- Zip : 08302-5905
- Phone : (800) 761-7575
Second Address
- David P Russo
- 133 Polk Ln
- Bridgeton, NJ
- Zip : 08302-5905
- Phone : (800) 761-7575
Reviews
FAQs
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What type of doctor is David P Russo
In what state does David P Russo practice in?
Where is David P Russo ’s practice located?
What is David P Russo ’s gender?
Is David P Russo a sole practitioner?
Is David P Russo accepting new patients?
What languages does David P Russo speak?
Does David P Russo accept insurance?
Does David P Russo offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 25MA05056300 | NJ |
| N | 208200000X | Surgeon | 25MA05056300 | NJ |
| N | 208600000X | Surgeon | 25MA05056300 | NJ |
National Provider Identifier
| NPI | 1588647143 |
|---|---|
| Provider Name | David P Russo |
| First Address | Bridgeton, NJ 08302-5905 |
| Second Address | Bridgeton, NJ 08302-5905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2005 |
| Last Update Date | 14/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E89555 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.