Organization
THE RETINA GROUP OF WASHINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MADREPERLA MD, PHD (PRESIDENT/CEO)
(908) 458-8312
Entity
Organization
Contact information
Practice address
360 E PULASKI HWY STE 1, ELKTON, MD 21921-6457
(410) 620-3600
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 458-8333
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
03/19/2024
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