David P Russo, MD, FACS

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1588647143

David P Russo, MD, FACS is an Addiction Medicine (Internal Medicine) Physician in Bridgeton, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in: NJ
In the registry since: 2005
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.
FACS — Fellow of the American College of Surgeons: A surgeon admitted as a fellow of the ACS.

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Practice location Address checks out

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

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary)	Taxonomy 207RA0401X · Licence 25MA05056300 (NJ)
Surgery Physician	Taxonomy 208600000X · Licence 25MA05056300 (NJ)

Record details

NPI number	1588647143
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD , FACS
Sole proprietor	Yes
NPI enumerated	November 28, 2005
Last updated in NPPES	August 14, 2020
Certification date	August 14, 2020