Organization
RETINA CONSULTANTS, PA, II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISA KAYSERMAN MD (PRESIDENT)
(201) 612-9600
Entity
Organization
Contact information
Practice address
1200 E RIDGEWOOD AVE, SUITE 207, RIDGEWOOD, NJ 07450-3957
(201) 612-9600
(201) 612-0428
Mailing address
1200 E RIDGEWOOD AVE, SUITE 207, RIDGEWOOD, NJ 07450-3957
(201) 612-9600
(201) 612-0428
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6798501
—
NJ
Enumeration date
03/14/2006
Last updated
01/18/2024
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