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Individual

JAMES ERIC DELLO RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1 NORTH WASHINGTON AVE, BERGENFIELD, NJ 07621
(201) 384-7333
(201) 385-3881
Mailing address
1 NORTH WASHINGTON AVE, BERGENFIELD, NJ 07621
(201) 384-7333
(201) 385-3881

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27TO00121200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12056
SPECTERA VISION
NJ
01
1784R1
EMPIRE BCBS
NJ
01
2128912000
AMERIHEALTH
NJ
01
2K5292
HEALTHNET
NJ
01
3229881
AETNA HMO
NJ
01
52146
DAVIS VISION
NJ
01
7386502
AETNA PPO
NJ
01
8217500
GHI PPO
NJ
01
91002286600
AMERICHOICE
NJ
01
NJ1300
EYE MED VISION
NJ
01
P00085267
RAILROAD MEDICARE
NJ
01
P2738259
OXFORD
NJ
Enumeration date
08/08/2006
Last updated
07/29/2008
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