MR. Robert Edward Russo
NPI #1831282904 in Essex Junction, Vermont
Provider Information
- NPI Number
- 1831282904
- Entity Type
- Individual
- Name
- MR. Robert Edward Russo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 18 RAILROAD STREET
- City
- Essex Junction
- State
- Vermont
- ZIP Code
- 05453
- Phone
- (802) 879-4515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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