Organization
ADVANCED EYE CARE MEDICAL CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BOVELLE M.D. (OWNER)
(301) 805-4664
Entity
Organization
Contact information
Practice address
12200 ANNAPOLIS RD, SUITE 116, GLENN DALE, MD 20769-9182
(301) 805-4664
(301) 805-4663
Mailing address
12200 ANNAPOLIS RD, SUITE 116, GLENN DALE, MD 20769-9182
(301) 805-4664
(301) 805-4663
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0056686
MD
Other
Enumeration date
05/14/2007
Last updated
05/23/2013
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