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Organization

LASER EYE INSTITUTE OF NEW JERSEY, LLC

Active
Other names
DELLO RUSSO LASER VISION
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH DELLO RUSSO M.D (MEDICAL DIRECTOR)
(212) 722-7629
Entity
Organization

Contact information

Practice address
1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
(201) 384-7333
(201) 385-3881
Mailing address
1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
(201) 384-7333
(201) 385-3881

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
091370
NY

Other

Enumeration date
10/23/2007
Last updated
10/24/2007
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