Russo, Maira Anabel

Russo, Maira Anabel is an individual health care provider with primary practice located at 3 Cooper Plz , Camden NJ 08103-1438. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Russo, Maira Anabel can be contacted via phone (856) 342-2439.

Contact Information

Primary practice address
3 Cooper Plz Camden NJ 08103-1438
Phone: (856) 342-2439
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00258900 New Jersey

Profile Details

NPI number 1487933834
LBN Legal business name Russo, Maira Anabel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2011
Last updated Mar 7th, 2018 - about 6 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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