Individual
JEFFREY S DELLO RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 NORTH WASHINGTON AVENUE, BERGENFIELD, NJ 07621
(201) 384-7333
(201) 384-2564
Mailing address
1 NORTH WASHINGTON AVENUE, BERGENFIELD, NJ 07621
(201) 384-7333
(201) 385-3881
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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