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Organization

RETINA CENTER OF WESTERN MARYLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARA TASH MD (CEO)
(301) 416-8600
Entity
Organization

Contact information

Practice address
251 E BALTIMORE ST, LOWER LEVEL, HAGERSTOWN, MD 21740-6144
(301) 416-8600
(301) 416-8602
Mailing address
251 E BALTIMORE ST, LOWER LEVEL, HAGERSTOWN, MD 21740-6144
(301) 416-8600
(301) 416-8602

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0052418
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170200900
MD
Enumeration date
12/28/2005
Last updated
02/19/2010
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