The Retina Group Of Washington, PLLC
Durable Medical Equipment & Medical Supplies in Elkton, MD. Organization (NPI-2).
NPI number1558099697
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1558099697
- Entity type
- Organization (NPI-2)
- Legal business name
- The Retina Group Of Washington, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2022
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
360 E Pulaski Hwy Ste 1Elkton, MD 21921-6457
Phone 410-620-3600
Mailing address
420 Mountain Ave Fl 4New Providence, NJ 07974-2736
Phone 908-458-8333
Authorized official
Steven Madreperla
President/Ceo
9084588312
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