| NPI | 1568714376 |
|---|---|
| Doing Business As | RUSSO CHIROPRACTIC AND REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK VINCENT RUSSO Owner 973-344-0129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MCOO235500) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |