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Contact Information

ALEXANDER P RUSSONIELLO, MD
5 PROGRESS STREET
EDISON, NJ08820
 Phone: 908-668-4410
 Fax: 908-668-0024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ALEXANDER P RUSSONIELLO · (Male)

NPI # 1497847990
Status Active
Credentials MD
Entity Individual
Enumeration date 09/29/2006
Last updated 10/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA45396
  • NJ Medicaid 1334506
Hospital affiliation(s)
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
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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