Russo, Cathy M

Russo, Cathy M is an individual health care provider with primary practice located at 703 Main St St. Joseph'S Regional Medical Center, Paterson NJ 07503-2621. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Russo, Cathy M can be contacted via phone (973) 754-2000.

Contact Information

Primary practice address
703 Main St St. Joseph'S Regional Medical Center Paterson NJ 07503-2621
Phone: (973) 754-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA07377400 New Jersey
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA07377400 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 25MA07377400 New Jersey

Profile Details

NPI number 1992790364
LBN Legal business name Russo, Cathy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jun 16th, 2015 - about 10 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 1992790364 NPPES
New Jersey MEDICAID 058259
New Jersey MEDICAID 0069884
New Jersey Other P01230783

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