Organization
MID ATLANTIC EYE, LLC
Active
Other names
Mid-Atlantic Cornea Consultants, Mid Atlantic Eye Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDEEP PRAMANIK MD, MBA (PRESIDENT)
(410) 616-9952
Entity
Organization
Contact information
Practice address
40 YORK RD STE 500, TOWSON, MD 21204-5243
(410) 616-9952
(443) 927-7515
Mailing address
40 YORK RD STE 500, TOWSON, MD 21204-5243
(410) 616-9952
(443) 927-7515
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0067362
MD
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025039200
—
MD
05
—
1016496560002
—
PA
Enumeration date
01/29/2009
Last updated
11/21/2023
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