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Organization

RETINA VITREOUS CENTER OF DELAWARE P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEO SANTAMARINA MD (OWNER)
(410) 392-4976
Entity
Organization

Contact information

Practice address
4514 KIRKWOOD HWY, WILMINGTON, DE 19808-5118
(302) 993-0722
(302) 993-0754
Mailing address
103 CHESAPEAKE BLVD, SUITE C, ELKTON, MD 21921-6313
(410) 392-4976
(410) 392-4958

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C10005728
DE
207W00000X
Ophthalmology Physician
D0062427
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000039342
DE
Enumeration date
07/20/2006
Last updated
08/22/2020
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