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Organization
CENTER FOR RETINAL DISEASES AND SURGERY, LLC
Active
Organization
CENTER FOR RETINAL DISEASES AND SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN S PAPPAS JR. M.D. (MEMBER)
(301) 571-2000
Entity
Organization
Contact information
Practice address
6420 ROCKLEDGE DR, SUITE 4900, BETHESDA, MD 20817-7837
(301) 571-2000
(301) 571-4307
Mailing address
6420 ROCKLEDGE DR, SUITE 4900, BETHESDA, MD 20817-7837
(301) 571-2000
(301) 571-4307
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0044710
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330652
MDIPA, OPT CHOICE, MAMSI
—
01
—
4332262
AETNA
—
01
—
7457
CAREFIRST
DC
01
—
LW08
CAREFIRST
MD
Enumeration date
06/15/2006
Last updated
08/22/2020
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