Search › New Jersey › 207RA0401X
David Russo, M.D., FACS
NPI 1588647143 · on the registry since 2005 · sole proprietor
Practice
- Address
- 133 Polk Ln
Bridgeton, NJ 08302 - Phone
- (800) 761-7575
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RA0401X
207RA0401X
- Also registered as
- 208600000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-14
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