Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA L RUSSO, DO
Active Sole ProprietorSANDRA L RUSSO, DO is a Family Medicine healthcare provider located in WOODBINE, New Jersey. NPI 1467404251 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WOODBINE, NJ
Registration Details
- NPI Number
- 1467404251
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2006 (20.221558493098 yrs)
- Last Updated
- Sep 15, 2010
- License
-
25MB06190900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
713 DEHIRSCH AVEWOODBINE, NJ, 08270Browse NJ providers · Browse ZIP 08270
- Phone
- 6098614241
- Fax
- 6098611071
- Primary Specialty
-
Family Medicine
207Q00000X
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.