# RETINA CONSULTANTS OF DELMARVA PA

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

## Provider details

- **NPI number:** 1972558971
- **Authorized official:** LORI BROWN (OFFICE MANAGER)
- **Authorized official phone:** (410) 546-8037

## Contact information

- **Practice address:** 6511 DEER POINTE DRIVE, SALISBURY, MD 21804
- **Practice address phone:** (410) 546-8037
- **Practice address fax:** (410) 546-8038
- **Mailing address:** 6511 DEER POINTE DR, SALISBURY, MD 21804-1667
- **Mailing address phone:** (410) 546-8037
- **Mailing address fax:** (410) 546-8038

## 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:** 05/24/2006
- **Last updated:** 12/11/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000666302 | — | DE |
| 05 | — | 149351500 | — | MD |