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Mr. Robert Edward Russo
Optician in Essex Junction, Vermont
NPI 1831282904

Robert Edward Russo is a Optician based in Essex Junction, VT and is specialized in Optician. Robert Edward Russo practices in Essex Junction, VT. The NPI Number for Robert Edward Russo is 1831282904 and holds a License No. 14 (Vermont).

The current practice location address for Robert Edward Russo is 18 Railroad Street, Essex Junction, VT and can be reached out via phone at 802-879-4515 and via fax at 802-879-4515.

Location: 18 Railroad Street, Essex Junction, VT, 05453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831282904
Provider Name
Robert Edward Russo
Credential
Provider Entity Type
Individual
Gender
Male
Address
18 Railroad Street, Essex Junction, VT, 05453
Phone Number
802-879-4515
Fax Number
802-879-4515
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0006615 05 VT
institution
Provider Business Practice Location Address Details
Address
18 Railroad Street
City
Essex Junction
State
Vermont
Zip
05453
Phone Number
802-879-4515
Fax Number
802-879-4515
person
Provider Business Mailing Address Details
Address
18 Railroad Street
City
Essex Junction
State
Vermont
Zip
05453
Phone Number
802-879-4515
Fax Number
802-879-4515
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
14 (Vermont)
Definition
Definition to come...
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