Laser Eye Institute of New Jersey, LLC

NPI #1720277981 in Bergenfield, New Jersey

Provider Information

NPI Number: 1720277981
Entity Type: Organization
Organization Name: Laser Eye Institute of New Jersey, LLC
Primary Specialty: Specialist
Enumeration Date: Oct 23, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 1 N WASHINGTON AVE
City: Bergenfield
State: New Jersey
ZIP Code: 07621-2125
Phone: (201) 384-7333

Authorized Official

Name: DR. JOSEPH DELLO RUSSO, M.D
Title: MEDICAL DIRECTOR
Phone: (212) 722-7629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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