Organization
RONALD M. CEDRONE OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MICHAEL CEDRONE O.D. (OPTOMETRIST)
(207) 771-7968
Entity
Organization
Contact information
Practice address
335 MAINE MALL RD, SOUTH PORTLAND, ME 04106-3214
(207) 771-7968
(207) 771-7983
Mailing address
335 MAINE MALL RD, SOUTH PORTLAND, ME 04106-3214
(207) 771-7968
(207) 771-7983
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT607
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020827
MEDICARE PTAN
ME
Enumeration date
03/24/2011
Last updated
08/02/2011
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