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Organization
THE RETINA GROUP OF WASHINGTON, PLLC
Active
Organization
THE RETINA GROUP OF WASHINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MADREPERLA MD, PHD (PRESIDENT AND CEO)
(908) 458-8333
Entity
Organization
Contact information
Practice address
7501 GREENWAY CENTER DR STE 700, GREENBELT, MD 20770-6703
(301) 441-4577
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
02/08/2006
Last updated
05/21/2024
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