Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY RUSSO, MD
ActiveANTHONY RUSSO, MD is a Sports Medicine (IM) healthcare provider located in MADISON, New Jersey. NPI 1730649989 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · MADISON, NJ
Registration Details
- NPI Number
- 1730649989
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2019 (7.4361441156983 yrs)
- Last Updated
- Aug 28, 2023
- Licenses
-
0000000000000000000025MA11647500 (NJ)
Practice Information
- Address
-
300 MADISON AVEMADISON, NJ, 079401868Browse NJ providers · Browse ZIP 07940
- Phone
- 9738222772
- Fax
- 9738222773
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
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.