Russo, Anmarie J

Russo, Anmarie J is an individual health care provider with primary practice located at 88 Ansel Hallet Rd , West Yarmouth MA 02673-2556. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Russo, Anmarie J can be contacted via phone (508) 771-4848.

Contact Information

Primary practice address
88 Ansel Hallet Rd West Yarmouth MA 02673-2556
Phone: (508) 771-4848
Fax: (508) 775-4103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3897 Massachusetts

Profile Details

NPI number 1851341192
LBN Legal business name Russo, Anmarie J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Nov 21st, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851341192 NPPES
Massachusetts MEDICAID 0369721
Massachusetts Other 003897
Massachusetts Other 152022

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