Kristin Gallo Russo, O.D.

NPI #1770683559 in Sparta, New Jersey

Provider Information

NPI Number: 1770683559
Entity Type: Individual
Name: Kristin Gallo Russo, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 350 SPARTA AVE.
Address 2: BUILDING A
City: Sparta
State: New Jersey
ZIP Code: 07871
Phone: (973) 729-5757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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