Organization
THOMPSON & SJAARDA PA
Active
Other names
Retina Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LATHROP DAVIS JR. (BUSINESS MANAGER)
(410) 296-9700
Entity
Organization
Contact information
Practice address
77 THOMAS JOHNSON DR STE B, FREDERICK, MD 21702-4893
(301) 682-9700
(301) 682-3578
Mailing address
6569 N CHARLES ST, SUITE 605, BALTIMORE, MD 21204-6831
(410) 296-9700
(410) 296-9705
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD5739
RAILROAD MEDICARE
MD
Enumeration date
03/08/2007
Last updated
02/11/2008
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