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Wendy Russell

NPI 1023471562 · on the registry since 2016 · sole proprietor

Practice

Address
200 Bristol Glen Dr
Newton, NJ 07860
Phone
(973) 300-5788
Organisation at this address
Bristol Glen Inc
Bristol Glen, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey