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Individual

DR. ANTHONY RUSIGNUOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
15 FRANKLIN PL, RUTHERFORD, NJ 07070-1707
(201) 933-2576
(201) 933-2602
Mailing address
15 FRANKLIN PL, RUTHERFORD, NJ 07070-1707
(201) 933-2576
(201) 933-2602

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00625300
NJ
152W00000X
Optometrist
TUV007066
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03110776
NY
Enumeration date
02/01/2007
Last updated
11/04/2021
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