Sandra L Russo, DO
Family Medicine in Woodbine, New Jersey
1467404251- Practice location
- 713 Dehirsch Ave, Woodbine, NJ 08270
- Phone
- 609-861-4241
- Fax
- 609-861-1071
- Last updated
- September 15, 2010
Sandra L Russo is a Family Medicine based in Woodbine, NJ. Sandra L Russo practices in Woodbine, NJ and has the professional credentials of DO. The NPI Number for Sandra L Russo is 1467404251 and holds a License No. 25mb06190900 (NJ). The current practice location address for Sandra L Russo is 713 Dehirsch Ave, Woodbine, NJ 08270 and can be reached out via phone at 609-861-4241 and via fax at 609-861-1071.
Provider Profile Details
- NPI Number
- 1467404251
- Provider Name
- Sandra L Russo
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 713 Dehirsch Ave, Woodbine, NJ 08270
- Phone Number
- 609-861-4241
- Fax Number
- 609-861-1071
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 17, 2006
- Last Update Date
- September 15, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 713 Dehirsch Ave
Woodbine, NJ 08270 - City
- Woodbine
- State
- New Jersey
- Zip
- 08270
- Phone Number
- 609-861-4241
- Fax Number
- 609-861-1071
Provider Business Mailing Address Details
- Address
- 713 Dehirsch Ave
Woodbine, NJ 08270 - City
- Woodbine
- State
- NJ
- Zip
- 08270
- Phone Number
- 609-861-4241
- Fax Number
- 609-861-1071
License Information
- License Number
- 25mb06190900
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Sandra L Russo, DO?
The NPI number of Sandra L Russo, DO is 1467404251. It was assigned on May 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Sandra L Russo, DO?
Sandra L Russo, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25mb06190900.
Where does Sandra L Russo, DO practice?
The practice location is 713 Dehirsch Ave, Woodbine, NJ 08270. The office can be reached at 609-861-4241 (phone) or 609-861-1071 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467404251 directly on the NPPES registry website.