Alexander Peter Russoniello in Edison - Sports Medicine
Alexander Peter Russoniello - NPI 1497847990
Alexander Peter Russoniello is a Sports Medicine in Edison, New Jersey. Alexander Peter Russoniello practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Alexander Peter Russoniello is 1497847990. The last update date is 2016-10-04.
Alexander Peter Russoniello's current location address is 5 Progress Street, Edison, New Jersey. You can contact this provider via phone number 9086684410 and fax number 9086680024. The mailing address for Alexander Peter Russoniello is 5 Progress Street, Edison, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexander Peter Russoniello |
|---|---|
| Address | 5 Progress Street, Edison, New Jersey |
| Phone Number | 9086684410 |
| Fax Number | 9086680024 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497847990 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2016-10-04 |
Provider Mailing Address Detail
| Address | 5 Progress Street |
|---|---|
| City | Edison |
| State | New Jersey (NJ) |
| Post Code | 8820 |
| Phone Number | 9086684410 |
| Fax Number | 9086680024 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MA45396 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1334506 | NJ | -- |
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What is the unique identifier code issued to Alexander Peter Russoniello by the Centers for Medicare & Medicaid Services (CMS)?
The Alexander Peter Russoniello has been assigned the NPI (National Provider Identifier) 1497847990. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Alexander Peter Russoniello located?
The Alexander Peter Russoniello is located at 5 Progress Street, Edison, NJ 8820.
What is Alexander Peter Russoniello's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alexander Peter Russoniello's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1497847990 to Alexander Peter Russoniello?
The Alexander Peter Russoniello received its 1497847990 assignment from the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date were the details pertaining to Alexander Peter Russoniello last refreshed?
The information related to the Alexander Peter Russoniello, including its address, specialty, and other relevant details, was last updated on 2016-10-04.
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