Individual
JEFFREY S DELLO RUSSO
Active
Individual
JEFFREY S DELLO RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07418400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0148589
GHI PPO
NJ
01
—
12056
SPECTERA VISION
NJ
01
—
2846451000
AMERIHEALTH #
NJ
01
—
3661080
AETNA HMO#
NJ
01
—
3K6533
HEALTHNET #
NJ
01
—
607B71
EMPIRE BCBS
NJ
01
—
7815607
AETNA PPO#
NJ
01
—
P00409033
RAILROAD MEDICARE#
NJ
01
—
P3610745
OXFORD ID#
NJ
Enumeration date
08/18/2006
Last updated
05/27/2008
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