Retina Center Of Maine, Llc Pa in Portland - Retina Specialist

Retina Center Of Maine, Llc Pa - NPI 1801077128

Retina Center Of Maine, Llc Pa is a Retina Specialist in Portland, Maine. Retina Center Of Maine, Llc Pa practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Retina Center Of Maine, Llc Pa is 1801077128. The last update date is 2017-04-18.

Retina Center Of Maine, Llc Pa's current location address is 195 Fore River Pkwy Ste 480, Portland, Maine. You can contact this provider via phone number 2077733937 and fax number 2077730801. The mailing address for Retina Center Of Maine, Llc Pa is 195 Fore River Pkwy Ste 480, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Organization Retina Center Of Maine, Llc Pa
Address 195 Fore River Pkwy Ste 480, Portland, Maine
Phone Number 2077733937
Fax Number 2077730801
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MD / PRACT
Authorized Official Name Balles Wilson Mark
Credentials MD
Telephone Number 2077733937

NPI Number Detail

NPI Number 1801077128
Provider Enumeration Date 2007-11-15
Last Updated Date 2017-04-18

Provider Mailing Address Detail

Address 195 Fore River Pkwy Ste 480
City Portland
State Maine (ME)
Post Code 41022787
Phone Number 2077733937
Fax Number 2077730801

Provider's Primary Taxonomy Detail

Speciality Retina Specialist
Taxonomy 207Wx0107X
Licence No MD14047
Definition:
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

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FAQs about Retina Center Of Maine, Llc Pa

What is the Retina Center Of Maine, Llc Pa's unique identification number?

The Retina Center Of Maine, Llc Pa has been assigned the NPI (National Provider Identifier) Number 1801077128 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Retina Center Of Maine, Llc Pa's facilities are situated?

The facilities of Retina Center Of Maine, Llc Pa are physically located at the following address: 195 Fore River Pkwy Ste 480, Portland, ME, 41022787.

What is Retina Center Of Maine, Llc Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Retina Center Of Maine, Llc Pa is Retina Specialist, and the taxonomy code that categorizes this field of expertise is 207Wx0107X.

When did the Retina Center Of Maine, Llc Pa receive its 1801077128?

The Retina Center Of Maine, Llc Pa was issued its 1801077128 on 2007-11-15, which is the date when the organization was assigned this unique identifier.

When was the information regarding Retina Center Of Maine, Llc Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Retina Center Of Maine, Llc Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-04-18.

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