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Contact Information

MARK J RUSSO, M.D., M.S
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ08901-1928
 Phone: 732-828-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MARK J RUSSO · (Male)

NPI # 1326289786
Status Active
Credentials M.D., M.S
Entity Individual
Enumeration date 03/16/2009
Last updated 11/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA09214100
  • NY License # 234808
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER - (Acute Care)
    99 RT 37 WEST
    TOMS RIVER, NJ 08755
  • ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - (Acute Care)
    ONE ROBERT WOOD JOHNSON PL
    NEW BRUNSWICK, NJ 08901
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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