Marc William Russo MD

NPI 1073717658 - Anesthesiology - 207L00000X

NPI Details
NPI 1073717658
Gender Male
Enumeration Date 06/14/2007
Last Updated 10/02/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
EAST ORANGE NJ, 07018-2819, US
Phone (973) 266-8400
Fax (845) 357-5777
Business Location
100 ROUTE 59
SUFFERN NY, 10901-4927, US
Phone (845) 357-5775
Fax (845) 357-5777
Taxonomy Code 207L00000X
License State New York
License Number 255454
Remove 1073717658 NPI Number

According to our database, Dr. Marc William Russo MD NPI is 1073717658, taxonomy code is 207L00000X and license number is 255454, license state is located at New York. Marc William Russo MD physically located at 300 Central Ave, East Orange NJ, 07018-2819. NPI Number Marc William Russo MD has the Individual type.

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1073717658 NPI number is provided on an as is basis without warranty of any kind. 1073717658 is maintained by the National Plan & Provider Enumeration System. The contents of Marc William Russo MD are for informational purposes only.