Northeast Retina Associates, PA

NPI #1124005590 in Sanford, Maine

Provider Information

NPI Number: 1124005590
Entity Type: Organization
Organization Name: Northeast Retina Associates, PA
Primary Specialty: Ophthalmology
Enumeration Date: Dec 28, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 272 COTTAGE ST
City: Sanford
State: Maine
ZIP Code: 04073-1815
Phone: (207) 324-3380

Authorized Official

Name: JENNIFER BREAREY
Title: OPHTHALMIC MANAGER
Phone: (207) 324-3380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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