David P Russo, M.D., FACS

NPI #1588647143 in Bridgeton, New Jersey

Provider Information

NPI Number
1588647143
Entity Type
Individual
Name
David P Russo, M.D., FACS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine - Addiction Medicine
Credential
M.D., FACS
Enumeration Date
Nov 28, 2005
Last Updated
Aug 14, 2020

Practice Location

Address
133 POLK LN
ZIP Code
08302-5905
Phone
(800) 761-7575

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Addiction MedicineAddiction Medicine
Surgery

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