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
5283 CORPORATE DR STE 201, FREDERICK, MD 21703-2879
(301) 662-4545
(301) 662-4044
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
05/23/2024
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