Russo, Michael Anthony

Russo, Michael Anthony is an individual health care provider with primary practice located at 25 W Main St Ste A , Rockaway NJ 07866-3435. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Russo, Michael Anthony can be contacted via phone (973) 625-1143.

Contact Information

Primary practice address
25 W Main St Ste A Rockaway NJ 07866-3435
Phone: (973) 625-1143
Fax: (973) 625-8048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1720835150
LBN Legal business name Russo, Michael Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2024
Last updated May 3rd, 2024 - about last year

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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