Organization
RETINA DIAGNOSTIC & TREATMENT ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY C BROWN MD (MD)
(215) 928-3300
Entity
Organization
Contact information
Practice address
840 WALNUT ST, SUITE 1020, PHILADELPHIA, PA 19107-5109
(215) 928-3300
(215) 825-4723
Mailing address
840 WALNUT ST, SUITE 1020, PHILADELPHIA, PA 19107-5109
(215) 928-3300
(215) 825-4723
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101472321-0001
—
PA
Enumeration date
06/02/2006
Last updated
11/28/2007
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