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Contact Information

JOHN A RUSSO, MD
1500 PLEASANT VALLEY WAY STE 201
WEST ORANGE, NJ07052-2956
 Phone: 973-736-8119
 Fax: 973-736-6818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN A RUSSO · (Male)

NPI # 1346376415
Status Active
Credentials MD
Entity Individual
Enumeration date 02/25/2007
Last updated 11/01/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA44815
Hospital affiliation(s)
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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