# GREATER BALTIMORE VITREORETINAL SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1831620020
- **Authorized official:** DR. CHRISTINA ANTONOPOULOS MD (PRESIDENT)
- **Authorized official phone:** (617) 818-0060

## Contact information

- **Practice address:** 2327 BOSTON ST, UNIT 1, BALTIMORE, MD 21224-3672
- **Practice address phone:** (617) 818-0060
- **Mailing address:** PO BOX 5280, 6221 EASTERN AVE, BALTIMORE, MD 21224-9998
- **Mailing address phone:** (617) 818-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | D74532 | MD | Yes |

## Other

- **Enumeration date:** 03/21/2017
- **Last updated:** 05/10/2017