RUSSELL FERSTANDIG

BRICK, NJ
NPI1780779702
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NJ  25MA03504800)
Enumeration Date2006-10-04
Last Update Date2007-07-08
Business Address
RUSSELL FERSTANDIG 25MA03504800
74 BRICK BLVD SUITE 117, BLDG 4
BRICK, NJ 08723-7984
Phone number: 732-920-9050
Mailing Address
RUSSELL FERSTANDIG 25MA03504800
74 BRICK BLVD SUITE 117, BLDG 4
BRICK, NJ 08723-7984
Phone number: 732-920-9050
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