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
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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