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Contact Information

KRISTIN G RUSSO, OD
350 SPARTA AVE.
BUILDING A
SPARTA TOWNSHIP, NJ07871
 Phone: 973-729-5757
 Fax: 973-729-8322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KRISTIN G RUSSO · (Female)

NPI Number 1770683559
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 5224
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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