TAMMY RUSSO

HACKENSACK, NJ
NPI1427262385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NN10094200)
Enumeration Date2007-05-10
Last Update Date2007-07-08
Business Address
-- TAMMY RUSSO NP
30 PROSPECT AVE 5 MAIN ROOM # 5637
HACKENSACK, NJ 07601-1914
Phone number: 201-996-4838
Mailing Address
-- TAMMY RUSSO NP
99 PINE ST
RIVERVALE, NJ 07675-6229
Phone number: 201-750-6873
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