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Paul Russomanno
Mental Health Counselor in Old Bridge, New Jersey
NPI 1083331813

Paul Russomanno is a Mental Health Counselor based in Old Bridge, NJ and is specialized in Mental Health. Paul Russomanno practices in Old Bridge, NJ. The NPI Number for Paul Russomanno is 1083331813 and holds a License No. 37AC00533900 (New Jersey).

The current practice location address for Paul Russomanno is 34 Fourth St, Old Bridge, NJ and can be reached out via phone at 973-886-9213.

Location: 34 Fourth St, Old Bridge, NJ, 08857-1249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083331813
Provider Name
Paul Russomanno
Credential
Provider Entity Type
Individual
Gender
Male
Address
34 Fourth St, Old Bridge, NJ, 08857-1249
Phone Number
973-886-9213
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34 Fourth St
City
Old Bridge
State
New Jersey
Zip
08857-1249
Phone Number
973-886-9213
Fax Number
person
Provider Business Mailing Address Details
Address
34 Fourth St
City
Old Bridge
State
New Jersey
Zip
08857-1249
Phone Number
973-886-9213
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
37AC00533900 (New Jersey)
Definition
Definition to come...
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