Russo, Michael S.

Russo, Michael S. is an sole proprietor health care provider with primary practice located at 10 Church Towers , Hoboken NJ 07030. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Russo, Michael S. can be contacted via phone (201) 401-9687.

Contact Information

Primary practice address
10 Church Towers Hoboken NJ 07030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA00991200 New Jersey

Profile Details

NPI number 1619948973
LBN Legal business name Russo, Michael S.
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Aug 5th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619948973 NPPES
New Jersey Other 1619948973 NPI #

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