Organization
THE RETINA GROUP OF WASHINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A MADREPERLA MD, PHD (OWNER/CEO)
(908) 458-8321
Entity
Organization
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR FL 6, FAIRFAX, VA 22031-4530
(703) 698-9335
(703) 207-0038
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
05/23/2024
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