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1619948973
MICHAEL S. RUSSO
HOBOKEN, NJ
NPI
1619948973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00991200)
Enumeration Date
2006-01-26
Last Update Date
2020-08-05
Business Address
DR. MICHAEL S. RUSSO DPT
10 CHURCH TOWERS
HOBOKEN, NJ 07030
Phone number: 201-401-9687
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Mailing Address
DR. MICHAEL S. RUSSO DPT
864 BROADWAY
BAYONNE, NJ 07002-3054
Phone number: 201-339-1109
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