Organization
RETINA CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWINA L REGO (MANAGER)
(401) 274-5844
Entity
Organization
Contact information
Practice address
101 PLAIN ST STE 101, PROVIDENCE, RI 02903-4828
(401) 274-5844
(401) 274-9462
Mailing address
101 PLAIN ST STE 101, PROVIDENCE, RI 02903-4828
(401) 274-5844
(401) 274-9462
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9729321
—
MA
05
—
RC01092
—
RI
Enumeration date
10/18/2006
Last updated
07/21/2020
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