Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID P RUSSO, M.D., FACS
Active Sole ProprietorDAVID P RUSSO, M.D., FACS is a Addiction Medicine (Internal Medicine) healthcare provider located in BRIDGETON, New Jersey. NPI 1588647143 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · BRIDGETON, NJ
Registration Details
- NPI Number
- 1588647143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2005 (20.679461538447 yrs)
- Last Updated
- Aug 14, 2020
- Licenses
-
25MA05056300 (NJ)25MA05056300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
133 POLK LNBRIDGETON, NJ, 083025905Browse NJ providers · Browse ZIP 08302
- Phone
- 8007617575
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- General Surgery
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.