Advanced Eye Care Medical Center, PA
NPI #1790990505 in Glenn Dale, Maryland
Provider Information
- NPI Number
- 1790990505
- Entity Type
- Organization
- Organization Name
- Advanced Eye Care Medical Center, PA
- Primary Specialty
- Ophthalmology
- Enumeration Date
- May 14, 2007
- Last Updated
- May 23, 2013
Practice Location
- Address
- 12200 ANNAPOLIS RD
- Address 2
- SUITE 116
- City
- Glenn Dale
- State
- Maryland
- ZIP Code
- 20769-9182
- Phone
- (301) 805-4664
Authorized Official
- Name
- RENEE BOVELLE, M.D.
- Title
- OWNER
- Phone
- (301) 805-4664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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