The Retina Group Of Washington, Pllc | |
1850 Town Center Pkwy Ste 655 Reston VA 20190-3307 | |
(703) 953-3826 | |
(571) 752-6222 |
Full Name | The Retina Group Of Washington, Pllc |
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Speciality | Clinic/center - Multi-specialty |
Location | 1850 Town Center Pkwy Ste 655, Reston, Virginia |
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 |
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The Retina Group Of Washington, Pllc 420 Mountain Ave Fl 4 New Providence NJ 07974-2736 Ph: () - | The Retina Group Of Washington, Pllc 1850 Town Center Pkwy Ste 655 Reston VA 20190-3307 Ph: (703) 953-3826 |
NPI Number | 1790545796 |
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Provider Enumeration Date | 03/19/2024 |
Last Update Date | 03/19/2024 |
Identifier | Type | State | Issuer |
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1790545796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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