Lisa Maria Russo in Hoboken - Nutrition, Pediatric
Lisa Maria Russo - NPI 1831245687
Lisa Maria Russo is a Nutrition, Pediatric in Hoboken, New Jersey. Lisa Maria Russo practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Lisa Maria Russo is 1831245687. The last update date is 2014-01-31.
Lisa Maria Russo's current location address is 10 Church Towers, Hoboken, New Jersey. You can contact this provider via phone number 9734600616. The mailing address for Lisa Maria Russo is 10 Church Towers, Hoboken, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lisa Maria Russo |
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Address | 10 Church Towers, Hoboken, New Jersey |
Phone Number | 9734600616 |
Fax Number | |
Sole Proprietor | Y |
Credentials | RD |
NPI Number Detail
NPI Number | 1831245687 |
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Provider Enumeration Date | 2007-01-26 |
Last Updated Date | 2014-01-31 |
Provider Mailing Address Detail
Address | 10 Church Towers |
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City | Hoboken |
State | New Jersey (NJ) |
Post Code | 7030 |
Phone Number | 9734600616 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nutrition, Pediatric |
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Taxonomy | 133Vn1004X |
Licence No | 952153 |
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
251854103 | NJ | UNITED HEALTH CARE | |
11452348 | NJ | COUNCIL OF AFFORDABLE QUA | |
223452311 | NJ | HORIZON BLUE CROSS | |
3980567 | NJ | AETNA US HEALTHCARE | |
P3595969 | NJ | OXFORD | |
223452311 | NJ | GREAT WEST |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Maria Russo by the Centers for Medicare & Medicaid Services?
The Lisa Maria Russo has been assigned the NPI (National Provider Identifier) 1831245687. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lisa Maria Russo's physical address?
The Lisa Maria Russo is physically located at 10 Church Towers, in the city of Hoboken, NJ, with the postal code 7030.
What is Lisa Maria Russo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lisa Maria Russo's area of specialization is Nutrition, Pediatric, and the corresponding taxonomy code that categorizes this field of practice is 133Vn1004X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831245687 to Lisa Maria Russo?
The Centers for Medicare & Medicaid Services originally issued the 1831245687 to Lisa Maria Russo on 2007-01-26.
When was the information pertaining to Lisa Maria Russo most recently updated or revised?
The details related to Lisa Maria Russo, including its address, specialty, and other relevant information, were last updated or revised on 2014-01-31.