# THE RETINA GROUP OF WASHINGTON, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023878097
- **Authorized official:** STEVEN A MADREPERLA MD, PHD (OWNER/CEO)
- **Authorized official phone:** (908) 458-8321

## Contact information

- **Practice address:** 2002 MEDICAL PKWY STE 450, ANNAPOLIS, MD 21401-3263
- **Practice address phone:** (410) 224-6680
- **Practice address fax:** (800) 762-2852
- **Mailing address:** 420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | — |

## Other

- **Enumeration date:** 03/19/2024
- **Last updated:** 05/22/2024