Joseph a Russo Od, P.c.

NPI #1881335792 in South Portland, Maine

Provider Information

NPI Number: 1881335792
Entity Type: Organization
Organization Name: Joseph a Russo Od, P.c.
Primary Specialty: Optometrist
Enumeration Date: Apr 5, 2022
Last Updated: Jun 29, 2022

Practice Location

Address: 364 MAINE MALL RD STE F128
City: South Portland
State: Maine
ZIP Code: 04106-3206
Phone: (207) 383-3456

Authorized Official

Name: JOSEPH A RUSSO, OD
Title: OWNER OPTOMETRIST
Phone: (207) 383-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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