| The Retina Group Of Washington, Pllc | |
|
16901 Melford Blvd Ste 111 Bowie MD 20715-4449 | |
| (301) 805-5395 | |
| (301) 805-5396 |
| Full Name | The Retina Group Of Washington, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 16901 Melford Blvd Ste 111, Bowie, Maryland |
| Authorized Official Name and Position | Steven A Madreperla (OWNER/CEO) |
| Authorized Official Contact | 9084588321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Retina Group Of Washington, Pllc 420 Mountain Ave Fl 4 New Providence NJ 07974-2736 Ph: () - | The Retina Group Of Washington, Pllc 16901 Melford Blvd Ste 111 Bowie MD 20715-4449 Ph: (301) 805-5395 |
| NPI Number | 1194585166 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194585166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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