Dr Leonard Michael Russo, DC | |
186 Fairfield Rd, Fairfield, NJ 07004-2423 | |
(973) 227-3338 | |
(973) 227-0887 |
Full Name | Dr Leonard Michael Russo |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 34 Years |
Location | 186 Fairfield Rd, Fairfield, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801922851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00400500 (New Jersey) | Primary |
Provider Name | 186 Fairfield Road Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629271135 PECOS PAC ID: 1355371923 Enrollment ID: O20050819000680 |
Mailing Address | Practice Location Address |
---|---|
Dr Leonard Michael Russo, DC 39 John St, Fairfield, NJ 07004-1438 Ph: (973) 224-5755 | Dr Leonard Michael Russo, DC 186 Fairfield Rd, Fairfield, NJ 07004-2423 Ph: (973) 227-3338 |
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