Sandra L Russo is a Family Medicine in Woodbine, New Jersey. Sandra L Russo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Sandra L Russo is 1467404251. The last update date is 2010-09-15.
Sandra L Russo's current location address is 713 Dehirsch Ave, Woodbine, New Jersey. You can contact this provider via phone number 6098614241 and fax number 6098611071. The mailing address for Sandra L Russo is 713 Dehirsch Ave, Woodbine, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra L Russo |
|---|---|
| Address | 713 Dehirsch Ave, Woodbine, New Jersey |
| Phone Number | 6098614241 |
| Fax Number | 6098611071 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1467404251 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2010-09-15 |
Provider Mailing Address Detail
| Address | 713 Dehirsch Ave |
|---|---|
| City | Woodbine |
| State | New Jersey (NJ) |
| Post Code | 8270 |
| Phone Number | 6098614241 |
| Fax Number | 6098611071 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 25MB06190900 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7011008 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sandra L Russo by the Centers for Medicare & Medicaid Services (CMS)?
The Sandra L Russo has been assigned the NPI (National Provider Identifier) 1467404251. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Sandra L Russo?
The Sandra L Russo is physically situated at 713 Dehirsch Ave, in the city of Woodbine, state of NJ, with the postal code 8270.
What is Sandra L Russo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sandra L Russo is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467404251 to Sandra L Russo?
The Sandra L Russo received its 1467404251 assignment from the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date was the information pertaining to Sandra L Russo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Sandra L Russo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-15.