Russin Eye LLC

NPI #1720255508 in Bala Cynwood, Pennsylvania

Provider Information

NPI Number: 1720255508
Entity Type: Organization
Organization Name: Russin Eye LLC
Primary Specialty: Ophthalmology
Enumeration Date: May 12, 2008
Last Updated: Oct 1, 2008

Practice Location

Address: 301 CITY AVENUE
Address 2: SUITE 335
City: Bala Cynwood
State: Pennsylvania
ZIP Code: 19004
Phone: (610) 617-4177

Authorized Official

Name: SIMON R RUSSIN, DO
Title: OWNER
Phone: (610) 617-4177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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