MICHAEL ANTHONY RUSSO

ROCKAWAY, NJ
NPI1720835150
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-05-03
Last Update Date2024-05-03
Business Address
MICHAEL ANTHONY RUSSO
25 W MAIN ST STE A
ROCKAWAY, NJ 07866-3435
Phone number: 973-625-1143
Mailing Address
MICHAEL ANTHONY RUSSO
25 W MAIN ST STE A
ROCKAWAY, NJ 07866-3435
Phone number: 973-625-1143
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