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Organization

THE RETINA GROUP OF WASHINGTON, PLLC

Active
Parent organization
THE RETINA GROUP OF WASHINGTON, PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE RETINA GROUP OF WASHINGTON, PLLC
Authorized official
STEVEN MADREPERLA MD, PHD (PRESIDENT AND CEI)
(908) 458-8313
Entity
Organization

Contact information

Practice address
9601 BLACKWELL RD STE 340, ROCKVILLE, MD 20850-3472
(301) 610-2020
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207W00000X
Ophthalmology Physician

Other

Enumeration date
05/21/2024
Last updated
05/21/2024
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