Organization
NORTHEAST RETINA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BREAREY (OPHTHALMIC MANAGER)
(207) 324-3380
Entity
Organization
Contact information
Practice address
272 COTTAGE ST, SANFORD, ME 04073-1815
(207) 324-3380
(207) 636-5023
Mailing address
272 COTTAGE ST, SANFORD, ME 04073-1815
(207) 324-3380
(207) 636-5023
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
013866
ME
207W00000X
Ophthalmology Physician
9375
NH
Other
Enumeration date
12/28/2005
Last updated
08/22/2020
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