Russo, Tammy
Russo, Tammy is an individual health care provider with primary practice located at 30 Prospect Ave 5 Main Room # 5637, Hackensack NJ 07601-1914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Russo, Tammy can be contacted via phone (201) 996-4838.Contact Information
Primary practice address
30 Prospect Ave 5 Main Room # 5637
Hackensack NJ 07601-1914
Phone: (201) 996-4838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NN10094200 | New Jersey |
Profile Details
| NPI number | 1427262385 |
|---|---|
| LBN Legal business name | Russo, Tammy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| 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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