Russo, Ralph E

Russo, Ralph E is an individual health care provider with primary practice located at 728 Marne Hwy Ste 200A , Moorestown NJ 08057-3128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Russo, Ralph E can be contacted via phone (856) 291-8855.

Contact Information

Primary practice address
728 Marne Hwy Ste 200A Moorestown NJ 08057-3128
Phone: (856) 291-8855
Fax: (856) 291-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA05172300 New Jersey

Profile Details

NPI number 1376510594
LBN Legal business name Russo, Ralph E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Apr 14th, 2023 - about last year

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 1376510594 NPPES
Other F01230 HEALTHNET
MEDICAID 4562704 HEALTHNET
Other 0004199975 HEALTHNET
Other BNS045 HEALTHNET

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