Russo, Donato S

Russo, Donato S is an individual health care provider with primary practice located at 1896 Morris Ave 3Rd Floor, Union NJ 07083-3535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Russo, Donato S can be contacted via phone (908) 687-8282.

Contact Information

Primary practice address
1896 Morris Ave 3Rd Floor Union NJ 07083-3535
Phone: (908) 687-8282
Fax: (908) 810-9363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MA55425 New Jersey
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA05542500 New Jersey

Profile Details

NPI number 1427073311
LBN Legal business name Russo, Donato S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 17th, 2022 - about 3 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 1427073311 NPPES
New Jersey Other 69H992 EMPIRE BC BS
New Jersey MEDICAID 5489806 EMPIRE BC BS
New Jersey Other 2K9165 EMPIRE BC BS
New Jersey Other 2054760 EMPIRE BC BS
New Jersey Other BP279 EMPIRE BC BS
New Jersey Other 0201404 EMPIRE BC BS

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