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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACE RUSSO

Active Sole Proprietor

GRACE RUSSO is a Early Intervention Provider Agency healthcare provider located in SPARTA, New Jersey. NPI 1215187133 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · SPARTA, NJ

Registration Details

NPI Number
1215187133
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2008 (17.84033881477 yrs)
Last Updated
Sep 28, 2008
Sole Proprietor
Yes

Practice Information

Address
43 CONESTOGA TRL
SPARTA, NJ, 078712509
Browse NJ providers · Browse ZIP 07871
Phone
9144430138
Primary Specialty
Early Intervention Provider Agency
252Y00000X

Other Early Intervention Provider Agency Providers in SPARTA, NJ

Name Credential NPI
MARA ELLEN DUNNE M.S.E.D. 1134371222
SAMANTHA R MCCOURT MS, ED. 1043729460
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.