Russo, Jennifer
Russo, Jennifer is an sole proprietor health care provider with primary practice located at 166 Central St , Lowell MA 01852. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Russo, Jennifer can be contacted via phone (978) 513-7300.Contact Information
Primary practice address
166 Central St
Lowell MA 01852
Phone: (978) 513-7300
Fax: (781) 268-5070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 261536 | Massachusetts |
Profile Details
| NPI number | 1699032128 |
|---|---|
| LBN Legal business name | Russo, Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2012 |
| Last updated | Oct 1st, 2024 - about 2 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.
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