Andrea Dello Russo PA-C

NPI 1497184576 - Physician Assistant - 363A00000X

NPI Details
NPI 1497184576
Gender Female
Enumeration Date 11/08/2013
Last Updated 11/08/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
141 MINE MOUNT RD
BERNARDSVILLE NJ, 07924-1518, US
Phone (908) 642-5778
Fax (908) 766-5071
Business Location
141 MINE MOUNT RD
BERNARDSVILLE NJ, 07924, US
Phone (908) 642-5778
Fax (908) 766-5071
Toxanomy
Taxonomy Code 363A00000X
License State New Jersey
License Number 25MP00312600
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According to our database, Ms. Andrea Dello Russo PA-C NPI is 1497184576, taxonomy code is 363A00000X and license number is 25MP00312600, license state is located at New Jersey. Andrea Dello Russo PA-C physically located at 141 Mine Mount Rd, Bernardsville NJ, 07924-1518. NPI Number Andrea Dello Russo PA-C has the Individual type.

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1497184576 NPI number is provided on an as is basis without warranty of any kind. 1497184576 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Dello Russo PA-C are for informational purposes only.