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
- City
- Bridgeton
- State
- New Jersey
- ZIP Code
- 08302-5905
- Phone
- (800) 761-7575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Addiction Medicine — Addiction Medicine |
| Surgery |
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Organizations
| Provider Name | |
|---|---|
| Island Medical Associates,pa |
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