Organization
THE RETINA GROUP OF WASHINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MADREPERLA MD, PHD (PRESIDENT AND CEO)
(908) 458-8333
Entity
Organization
Contact information
Practice address
7501 GREENWAY CENTER DR STE 700, GREENBELT, MD 20770-6703
(301) 441-4577
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
02/08/2006
Last updated
05/21/2024
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