NICHOLAS ANTHONY RUSSO

HACKENSACK, NJ
NPI1174151930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-29
Last Update Date2020-04-16
Business Address
Dr. NICHOLAS ANTHONY RUSSO MD
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
Mailing Address
Dr. NICHOLAS ANTHONY RUSSO MD
102 ASHLEY CT
MOORESTOWN, NJ 08057-2144
Phone number: 856-912-1194
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