| The Retina Group Of Washington, Pllc | |
|
2023 Pulaski Hwy Havre De Grace MD 21078-2137 | |
| (410) 939-6477 | |
| Not Available |
| Full Name | The Retina Group Of Washington, Pllc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2023 Pulaski Hwy, Havre De Grace, Maryland |
| Authorized Official Name and Position | Steven Madreperla (CEO/PRESIDENT) |
| Authorized Official Contact | 9084588313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Retina Group Of Washington, Pllc 420 Mountain Ave Fl 4 New Providence NJ 07974-2736 Ph: (908) 458-8333 | The Retina Group Of Washington, Pllc 2023 Pulaski Hwy Havre De Grace MD 21078-2137 Ph: (410) 939-6477 |
| NPI Number | 1801524947 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 03/19/2024 |
| Medicare PECOS PAC ID | 5294702692 |
|---|---|
| Medicare Enrollment ID | O20240514002917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801524947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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