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1356719652
MATTHEW RUSSO
BETHLEHEM, PA
NPI
1356719652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: PA RN619623)
Enumeration Date
2015-09-03
Last Update Date
2015-09-03
Business Address
-- MATTHEW RUSSO
1 W BROAD ST SUITE 506
BETHLEHEM, PA 18018-5717
Phone number: 610-954-5810
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Mailing Address
-- MATTHEW RUSSO
156 TURKEY RD
KEMPTON, PA 19529-8734
Phone number: 908-304-5738
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