Gunn Russell, Ian N.

Gunn Russell, Ian N. is an sole proprietor health care provider with primary practice located at 71 Hanover Rd Adp Medical Department, Florham Park NJ 07932-1502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gunn Russell, Ian N. can be contacted via phone (973) 712-3517.

Contact Information

Primary practice address
71 Hanover Rd Adp Medical Department Florham Park NJ 07932-1502
Phone: (973) 712-3517
Fax: (973) 712-3520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA03981600 New Jersey

Profile Details

NPI number 1801858576
LBN Legal business name Gunn Russell, Ian N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated Jun 12th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801858576 NPPES
New Jersey MEDICAID 1885201

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