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Organization
GREATER BALTIMORE VITREORETINAL SPECIALISTS, LLC
Active
Organization
GREATER BALTIMORE VITREORETINAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA ANTONOPOULOS MD (PRESIDENT)
(617) 818-0060
Entity
Organization
Contact information
Practice address
2327 BOSTON ST, UNIT 1, BALTIMORE, MD 21224-3672
(617) 818-0060
Mailing address
PO BOX 5280, 6221 EASTERN AVE, BALTIMORE, MD 21224-9998
(617) 818-0060
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
D74532
MD
Other
Enumeration date
03/21/2017
Last updated
05/10/2017
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