Organization
NORTHEAST EYE SURGEONS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN B YEROUSHALMI M. D. (M. D/PART OWNER)
(855) 876-2020
Entity
Organization
Contact information
Practice address
920 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3748
(855) 876-2020
(302) 734-1921
Mailing address
920 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3748
(855) 876-2020
(302) 734-1921
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D76762
MD
Other
Enumeration date
11/14/2013
Last updated
11/20/2013
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