# THE RETINA GROUP OF WASHINGTON, PLLC

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

## Provider details

- **NPI number:** 1356152565
- **Authorized official:** STEVEN A MADREPERLA MD (AO)
- **Authorized official phone:** (908) 458-8333

## Contact information

- **Practice address:** 698 CORPORATE CENTER CT \# 1F, WESTMINSTER, MD 21157-3051
- **Practice address phone:** (410) 377-7611
- **Mailing address:** PO BOX 27780, BELFAST, ME 04915-2029
- **Mailing address phone:** (908) 458-8333

## 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:** 01/16/2025
- **Last updated:** 01/16/2025