| Christopher Russo, DC | |
|
15 Prospect Ln Ste 1d, Colonia, NJ 07067-3048 | |
| (732) 827-0028 | |
| Not Available |
| Full Name | Christopher Russo |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Location | 15 Prospect Ln Ste 1d, Colonia, 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 |
|---|---|---|---|
| 1235087446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00818600 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colonia Spine And Wellness Center Pa | 8022289834 | 6 |
| Provider Name | Colonia Spine & Wellness Center PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952536054 PECOS PAC ID: 8022289834 Enrollment ID: O20110927000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Russo, DC 15 Prospect Ln Ste 1d, Colonia, NJ 07067-3048 Ph: Not Available | Christopher Russo, DC 15 Prospect Ln Ste 1d, Colonia, NJ 07067-3048 Ph: (732) 827-0028 |
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