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Michael Russo
NPI 1932594801 · on the registry since 2015
Practice
- Address
- 175 Eagle Rock Ave
Roseland, NJ 07068 - Phone
- (973) 226-1973
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-22
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