Russomanno Health Center

LBN: Russomanno Health Center
Russomanno Health Center is an health care organization with primary practice located at 350 Bloomfield Ave , Bloomfield NJ 07003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Russomanno Health Center can be contacted via phone (201) 263-1047, or through Dougherty, Colleen via phone (201) 263-1047.

Contact Information

Primary practice address
350 Bloomfield Ave Bloomfield NJ 07003
Phone: (201) 263-1047
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dougherty, Colleen
Phone: (201) 263-1047

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA02891700 New Jersey

Profile Details

NPI number 1275560195
LBN Legal business name Russomanno Health Center
DBA Doing business as
Authorized official Dougherty, Colleen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275560195 NPPES
New Jersey MEDICAID 1258508

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