Organization
RETINA VITREOUS CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI TABASSIAN MD (MANAGING PARTNER)
(804) 363-8948
Entity
Organization
Contact information
Practice address
8700 STONY POINT PKWY, SUITE 230, RICHMOND, VA 23235-1962
(804) 363-8948
Mailing address
2430 FOUNDERS BRIDGE RD, MIDLOTHIAN, VA 23113-6380
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101054624
VA
Other
Enumeration date
08/03/2016
Last updated
09/21/2016
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