Russoniello, Alexander Peter

Russoniello, Alexander Peter is an individual health care provider with primary practice located at 5 Progress Street , Edison NJ 08820. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Russoniello, Alexander Peter can be contacted via phone (908) 668-4410.

Contact Information

Primary practice address
5 Progress Street Edison NJ 08820
Phone: (908) 668-4410
Fax: (908) 668-0024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MA45396 New Jersey
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MA45396 New Jersey

Profile Details

NPI number 1497847990
LBN Legal business name Russoniello, Alexander Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Oct 4th, 2016 - about 10 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 1497847990 NPPES
New Jersey MEDICAID 1334506

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