| Valley Family Care- M. Joseph Russo Md Pa | |
|
128 Valley Rd Clifton NJ 07013-1121 | |
| (973) 279-5116 | |
| (973) 279-8899 |
| Full Name | Valley Family Care- M. Joseph Russo Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 128 Valley Rd, Clifton, New Jersey |
| Authorized Official Name and Position | Melchiorre Joseph Russo (OWNER) |
| Authorized Official Contact | 9732795116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Family Care- M. Joseph Russo Md Pa 128 Valley Rd Clifton NJ 07013-1121 Ph: (973) 279-5116 | Valley Family Care- M. Joseph Russo Md Pa 128 Valley Rd Clifton NJ 07013-1121 Ph: (973) 279-5116 |
| NPI Number | 1598928517 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 05/12/2021 |
| Medicare PECOS PAC ID | 1153494745 |
|---|---|
| Medicare Enrollment ID | O20080715000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598928517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA04879600 (New Jersey) | Primary |
| Provider Name | Melchiorre J Russo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245291277 PECOS PAC ID: 3476587783 Enrollment ID: I20050926000252 |
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