Organization
ENVUE SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ANTHONY RIVERS MD (MEDICAL DIRECTOR)
(202) 210-4338
Entity
Organization
Contact information
Practice address
120 WATERFRONT ST STE 300, OXON HILL, MD 20745-1142
(301) 485-9533
Mailing address
7014 OREGON AVE NW, WASHINGTON, DC 20015-1422
(202) 210-4338
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
08/18/2021
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