Organization
THE RETINA CLINIC, LLC
Active
Organization
THE RETINA CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SACHIN PATEL MD (CO OWNER)
(570) 604-3276
Entity
Organization
Contact information
Practice address
195 ROUTE 46 WEST, SUITE 204, MINE HILL, NJ 07803
(570) 604-3276
Mailing address
195 ROUTE 46 WEST, SUITE 204, MINE HILL, NJ 07803
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA1582492
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1192886758
DR. PATEL INDIVIDUAL NPI
—
05
—
1582492
—
LA
Enumeration date
06/01/2007
Last updated
08/22/2020
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