Russo, Peter J

Russo, Peter J is an individual health care provider with primary practice located at 567 Southbridge , Auburn MA 01520. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Russo, Peter J can be contacted via phone (508) 832-3317.

Contact Information

Primary practice address
567 Southbridge Auburn MA 01520
Fax: (508) 832-5374
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19637 Massachusetts

Profile Details

NPI number 1053485672
LBN Legal business name Russo, Peter J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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