Russo, Nicholas John

Russo, Nicholas John is an individual health care provider with primary practice located at 425 Jack Martin Blvd , Brick NJ 08724-7732. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Russo, Nicholas John can be contacted via phone (732) 202-1500.

Contact Information

Primary practice address
425 Jack Martin Blvd Brick NJ 08724-7732
Phone: (732) 202-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA11351700 New Jersey
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York

Profile Details

NPI number 1679005649
LBN Legal business name Russo, Nicholas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2017
Last updated Dec 14th, 2022 - about 3 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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