BLAINE BURKE RUSS

NEWARK, NJ
NPI1346099132
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-15
Last Update Date2024-05-15
Business Address
BLAINE BURKE RUSS MD
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 973-972-4300
Mailing Address
BLAINE BURKE RUSS MD
36 SANDY BROOK LN
CASTLE CREEK, NY 13744-1123
Phone number: 607-644-2143
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