Russo, John J
Russo, John J is an individual health care provider with primary practice located at 10 Schalks Crossing Rd , Plainsboro NJ 08536-1612. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Russo, John J can be contacted via phone (609) 275-8989.Contact Information
Primary practice address
10 Schalks Crossing Rd
Plainsboro NJ 08536-1612
Phone: (609) 275-8989
Fax: (609) 275-9327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OAO 4698 | New Jersey |
Profile Details
| NPI number | 1114983442 |
|---|---|
| LBN Legal business name | Russo, John J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Aug 8th, 2008 - about 16 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 | 1114983442 | NPPES |
| New Jersey | Other | 0641930001 | MEDICARE NSC |
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