DAVID P RUSSO M.D., FACS
Individual Provider (NPI-1)
Active
Internal Medicine, Addiction Medicine
Provider Information
- NPI Number
1588647143- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D., FACS
- Status
- Active
Contact & Location
- Address
- 133 POLK LN, BRIDGETON, NJ, 083025905
- Phone
- (800) 761-7575
Specialties & Taxonomies
Internal Medicine, Addiction Medicine
Primary License: NJ #25MA05056300
Surgery
License: NJ #25MA05056300