David Russo, M.D., FACS

Individual Active
NPI 1588647143
Addiction Medicine (Internal Medicine) Physician Bridgeton, NJ

David Russo, M.D., FACS holds NPI 1588647143, with a primary taxonomy of addiction medicine (internal medicine) physician and a practice location in Bridgeton, NJ. The number was issued on November 28, 2005 and the NPPES record was last updated on August 14, 2020. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2020. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Medicine (Internal Medicine) Physician Primary 207RA0401X 25MA05056300 (NJ)
Surgery Physician 208600000X 25MA05056300 (NJ)

Practice location

133 Polk Ln
Bridgeton, NJ 08302-5905
Phone: (800) 761-7575

Local context

Active NPPES records list 1 provider with addiction medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 51 in New Jersey and 1,060 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
David P Russo
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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