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Thomas Russo
Specialist in Paramus, New Jersey
NPI 1871581363

Thomas Russo is a Specialist based in Paramus, NJ. Thomas Russo practices in Paramus, NJ. The NPI Number for Thomas Russo is 1871581363 and holds a License No. 25MA05631000 (New Jersey).

The current practice location address for Thomas Russo is 80 Eisenhower Dr, Paramus, NJ and can be reached out via phone at 201-843-2800 and via fax at 973-939-0273.

Location: 80 Eisenhower Dr, Paramus, NJ, 07652-1401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871581363
Provider Name
Thomas Russo
Credential
Provider Entity Type
Individual
Gender
Male
Address
80 Eisenhower Dr, Paramus, NJ, 07652-1401
Phone Number
201-843-2800
Fax Number
973-939-0273
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BP240 01 NJ OXFORD #
000000036694 01 NJ GHI HMO #
0507329000 01 NJ AMERIHEALTH #
114590 01 NJ AETNA HMO
160026487 01 NJ RAILROAD MCR #
4245409 01 NJ AETNA PPO
0200768 01 NJ GHI PPO #
0K7555 01 NJ HEALTHNET #
36K741 01 NJ EMPIRE BCBS #
institution
Provider Business Practice Location Address Details
Address
80 Eisenhower Dr
City
Paramus
State
New Jersey
Zip
07652-1401
Phone Number
201-843-2800
Fax Number
973-939-0273
person
Provider Business Mailing Address Details
Address
80 Eisenhower Dr
City
Paramus
State
New Jersey
Zip
07652-1401
Phone Number
201-843-2800
Fax Number
973-939-0273
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA05631000 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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