The Retina Group of Washington, Pllc

NPI #1578303632 in Havre De Grace, Maryland

Provider Information

NPI Number: 1578303632
Entity Type: Organization
Organization Name: The Retina Group of Washington, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: THE RETINA GROUP OF WASHINGTON, PLLC
Primary Specialty: Ophthalmology
Enumeration Date: May 28, 2024
Last Updated: May 28, 2024

Practice Location

Address: 2023 PULASKI HWY
City: Havre De Grace
State: Maryland
ZIP Code: 21078-2137
Phone: (410) 939-6477

Authorized Official

Name: STEVEN MADREPERLA, MD, PHD
Title: PRESIDENT AND CEO
Phone: (908) 458-8333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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