DR. Joseph A Russo, O.D.

NPI #1114903218 in South Portland, Maine

Provider Information

NPI Number: 1114903218
Entity Type: Individual
Name: DR. Joseph A Russo, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 20, 2005
Last Updated: Jun 29, 2022

Practice Location

Address: 364 MAINE MALL RD STE F128
City: South Portland
State: Maine
ZIP Code: 04106-3206
Phone: (207) 383-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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