Russoniello, Michael
Russoniello, Michael is an individual health care provider with primary practice located at 16 Pocono Rd Ste 209, Denville NJ 07834-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Russoniello, Michael can be contacted via phone (973) 625-5651.Contact Information
Primary practice address
16 Pocono Rd Ste 209
Denville NJ 07834-2901
Phone: (973) 625-5651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MA37902 | New Jersey |
Profile Details
| NPI number | 1356392757 |
|---|---|
| LBN Legal business name | Russoniello, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | May 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356392757 | NPPES |
| New Jersey | MEDICAID | 1612506 |
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