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Organization
RETINA VITREOUS OF PA LLC
Active
Organization
RETINA VITREOUS OF PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AJEY SHASHIKANT ALURKAR MD (DIRECTOR OF RETINA SERVICE)
(570) 587-7500
Entity
Organization
Contact information
Practice address
210 N STATE ST STE 3, CLARKS SUMMIT, PA 18411-1008
(570) 587-7500
Mailing address
210 N STATE ST, SUITE 1, 3 AND 5 ., CLARKS SUMMIT, PA 18411-1008
(570) 587-7500
(570) 587-7501
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
04/08/2025
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