is a Retina Specialist in , . practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for is 1649222902. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1649222902 |
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Provider Mailing Address Detail
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Provider's Primary Taxonomy Detail
Speciality | Retina Specialist |
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Taxonomy | 207Wx0107X |
Licence No | 50633 |
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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213372 | OR | -- |
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