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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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