Thomas Russo

Specialist · Paramus, NJ

Individual Active NPI

NPI number 1871581363

Practice location

80 Eisenhower Dr
Suite 200
Paramus, NJ 07652-1401
Phone
(201) 843-2800
Fax
(973) 939-0273

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NPI record

NPI
1871581363
Entity type
Individual (Type 1)
Enumeration date
October 10, 2005
Last updated
April 25, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 25MA05631000 NJ

Mailing address

80 Eisenhower Dr
Paramus, NJ 07652-1401
Phone
(201) 843-2800
Fax
(973) 939-0273

About Thomas Russo

Thomas Russo is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 80 Eisenhower Dr, Suite 200, Paramus, NJ 07652-1401. The NPI number 1871581363 was assigned on October 10, 2005 and the record was last updated on April 25, 2017.

Thomas Russo lists a license in the registry: #25MA05631000 (NJ) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Russo?

The NPI number is 1871581363.

What is the phone number of Thomas Russo?

The phone number listed for the practice location is (201) 843-2800.

Where is Thomas Russo located?

80 Eisenhower Dr, Suite 200, Paramus, NJ 07652-1401.

What is the taxonomy code for Thomas Russo?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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