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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801858576 | NPPES |
| New Jersey | MEDICAID | 1885201 |
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