DR. Diane M Russo, OD

NPI #1174839146 in Dorchester, Massachusetts

Provider Information

NPI Number: 1174839146
Entity Type: Individual
Name: DR. Diane M Russo, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 27, 2010
Last Updated: Nov 27, 2023

Practice Location

Address: 637 WASHINGTON ST
City: Dorchester
State: Massachusetts
ZIP Code: 02124-3510
Phone: (617) 825-9660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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