Russo, Eileen Susan
Russo, Eileen Susan is an individual health care provider with primary practice located at 254 Easton Ave Saint Peter'S University Hospital, New Brunswick NJ 08901-1766. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Russo, Eileen Susan can be contacted via phone (732) 745-8600.Contact Information
Primary practice address
254 Easton Ave Saint Peter'S University Hospital
New Brunswick NJ 08901-1766
Phone: (732) 745-8600
Fax: (732) 745-9156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA07642600 | New Jersey |
Profile Details
| NPI number | 1811072994 |
|---|---|
| LBN Legal business name | Russo, Eileen Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811072994 | NPPES |
| New Jersey | MEDICAID | 0011657 |
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