Thomas Russo

NPI #1871581363 in Paramus, New Jersey

Provider Information

NPI Number
1871581363
Entity Type
Individual
Name
Thomas Russo
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Oct 10, 2005
Last Updated
Apr 25, 2017

Practice Location

Address
80 EISENHOWER DR
Address 2
SUITE 200
ZIP Code
07652-1401
Phone
(201) 843-2800

Specialties & Taxonomy Codes

Specialty
Specialist

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