Total Retina Llc

NPI 1063526713 - Ophthalmology - 207W00000X

NPI Details
NPI 1063526713
Enumeration Date 08/19/2006
Last Updated 06/27/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDALL V RANDALL
Position PRESIDENT
Phone (410) 377-9004
Fax (410) 377-8221
Practice Location
6115 FALLS RD
SUITE 300
BALTIMORE MD, 21209-2219, US
Phone (410) 377-9004
Fax (410) 377-8221
Business Location
6115 FALLS RD
SUITE 300
BALTIMORE MD, 21209-2219, US
Phone (410) 377-9004
Fax (410) 377-8221
Toxanomy
Taxonomy Code 207W00000X
License State Maryland
License Number D0041207
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According to our database, Total Retina Llc NPI is 1063526713, taxonomy code is 207W00000X and license number is D0041207, license state is located at Maryland. Total Retina Llc physically located at 6115 Falls Rd, Baltimore MD, 21209-2219. NPI Number 1033115704 has the healthcare provider type.

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1063526713 NPI number is provided on an as is basis without warranty of any kind. 1063526713 is maintained by the National Plan & Provider Enumeration System. The contents of Total Retina Llc are for informational purposes only.