Organization
RETINOVITREOUS ASSOCIATES, LTD
Active
Organization
RETINOVITREOUS ASSOCIATES, LTD
Active
Other names
Mid Atlantic Retina
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY SHEPPARD (CFO/CAP)
(800) 331-6634
Entity
Organization
Contact information
Practice address
37 MEDICAL CROSSING RD, TAMAQUA, PA 18252-5565
(570) 386-5926
Mailing address
4060 BUTLER PIKE STE 200, PLYMOUTH MEETING, PA 19462-1560
(800) 331-6634
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/01/2008
Last updated
06/26/2025
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