NPI 1013084797
Theeany T.F. Russ, BA
Practice location
- Address
- 145 Maple Ave, Red Bank, NJ 07701-1717
- Phone
- (732) 747-9660
- Fax
- (732) 224-1396
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1013084797
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Nov 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.