Russo, Thomas

Russo, Thomas is an individual health care provider with primary practice located at 80 Eisenhower Dr Suite 200, Paramus NJ 07652-1401. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Russo, Thomas can be contacted via phone (201) 843-2800.

Contact Information

Primary practice address
80 Eisenhower Dr Suite 200 Paramus NJ 07652-1401
Phone: (201) 843-2800
Fax: (973) 939-0273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA05631000 New Jersey

Profile Details

NPI number 1871581363
LBN Legal business name Russo, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Apr 25th, 2017 - about 9 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 1871581363 NPPES
New Jersey Other BP240 OXFORD #
New Jersey Other 000000036694 OXFORD #
New Jersey Other 0507329000 OXFORD #
New Jersey Other 114590 OXFORD #
New Jersey Other 160026487 OXFORD #
New Jersey Other 4245409 OXFORD #
New Jersey Other 0200768 OXFORD #
New Jersey Other 0K7555 OXFORD #
New Jersey Other 36K741 OXFORD #

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