Eye Physicians Of St Mary's

NPI 1063737203 - Optometrist - 152W00000X

NPI Details
NPI 1063737203
Enumeration Date 03/31/2010
Last Updated 03/31/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RICHARD RICHARD
Position CFO
Phone (218) 830-9991
Fax
Practice Location
37767 MARKET STREET
CHARLOTTE HALL MD, 20622-3188, US
Phone (218) 830-9991
Fax
Business Location
PO BOX 20431
BALTIMORE MD, 21284-0431, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Eye Physicians Of St Mary's NPI is 1063737203, taxonomy code is 152W00000X Eye Physicians Of St Mary's physically located at 37767 Market Street, Charlotte Hall MD, 20622-3188. NPI Number 1033115704 has the healthcare provider type.

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1063737203 NPI number is provided on an as is basis without warranty of any kind. 1063737203 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Physicians Of St Mary's are for informational purposes only.