Mark V Russo, Dc, LLC
NPI #1568714376 in Newark, New Jersey
Provider Information
- NPI Number
- 1568714376
- Entity Type
- Organization
- Organization Name
- Mark V Russo, Dc, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 4, 2012
- Last Updated
- Oct 4, 2012
Practice Location
- Address
- 157 LAFAYETTE ST
- City
- Newark
- State
- New Jersey
- ZIP Code
- 07105-1439
- Phone
- (973) 344-0129
Authorized Official
- Name
- MARK VINCENT RUSSO, D.C
- Title
- OWNER
- Phone
- (973) 344-0129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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