Thomas Russo in Paramus - Specialist

Thomas Russo - NPI 1871581363

Thomas Russo is a Specialist in Paramus, New Jersey. Thomas Russo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Thomas Russo is 1871581363. The last update date is 2017-04-25.

Thomas Russo's current location address is 80 Eisenhower Dr, Paramus, New Jersey. You can contact this provider via phone number 2018432800 and fax number 9739390273. The mailing address for Thomas Russo is 80 Eisenhower Dr, Paramus, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Russo
Address 80 Eisenhower Dr, Paramus, New Jersey
Phone Number 2018432800
Fax Number 9739390273
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1871581363
Provider Enumeration Date 2005-10-10
Last Updated Date 2017-04-25

Provider Mailing Address Detail

Address 80 Eisenhower Dr
City Paramus
State New Jersey (NJ)
Post Code 76521401
Phone Number 2018432800
Fax Number 9739390273

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25MA05631000
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BP240 NJ OXFORD #
36694 NJ GHI HMO #
507329000 NJ AMERIHEALTH #
114590 NJ AETNA HMO
160026487 NJ RAILROAD MCR #
4245409 NJ AETNA PPO
200768 NJ GHI PPO #
0K7555 NJ HEALTHNET #
36K741 NJ EMPIRE BCBS #

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FAQs about Thomas Russo

What is the Thomas Russo's unique identification number?

The Thomas Russo has been assigned the NPI (National Provider Identifier) Number 1871581363 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Thomas Russo is physically located?

The Thomas Russo is physically situated at the following address: 80 Eisenhower Dr, Paramus, NJ, 76521401.

What is the area of specialization for Thomas Russo, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thomas Russo is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1871581363 to Thomas Russo?

The Centers for Medicare & Medicaid Services assigned the 1871581363 to Thomas Russo on 2005-10-10.

As of what date was the information pertaining to Thomas Russo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas Russo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-04-25.

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