Dr. Michael C Russonella
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
6 Brighton Road Ste 101 North Jersey Orthopaedic & Sports Medicine Institute Ll
Clifton
, New Jersey 07012-1647
Dr. Michael C Russonella
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
6 Brighton Road Ste 101 North Jersey Orthopaedic & Sports Medicine Institute Ll
Clifton
, New Jersey 07012-1647
(973) 340-1958
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael C Russonella
- 6 Brighton Road Ste 101 North Jersey Orthopaedic & Sports Medicine Institute Ll
- Clifton, NJ
- Zip : 07012-1647
- Fax : (973) 340-1958
- Phone : (973) 340-1940
Second Address
- Dr. Michael C Russonella
- 6 Brighton Road Ste 101 North Jersey Orthopaedic & Sports Medicine Institute Ll
- Clifton, NJ
- Zip : 07012-1647
- Fax : (973) 340-1958
- Phone : (973) 340-1940
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Is Dr. Michael C Russonella a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 25MB08615500 | NJ |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | 239683-1 | NY |
National Provider Identifier
| NPI | 1255542486 |
|---|---|
| Provider Name | Dr. Michael C Russonella |
| First Address | Clifton, NJ 07012-1647 |
| Second Address | Clifton, NJ 07012-1647 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2007 |
| Last Update Date | 02/02/2016 |
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.