Retina Diagnostic & Treatment Associates, Llc
LBN: Retina Diagnostic & Treatment Associates, Llc
Retina Diagnostic & Treatment Associates, Llc is an health care organization with primary practice located at 840 Walnut St Suite 1020, Philadelphia PA 19107-5109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Retina Diagnostic & Treatment Associates, Llc can be contacted via phone (215) 928-3300, or through Brown, Gary C via phone (215) 928-3300.
Contact Information
Primary practice address
840 Walnut St Suite 1020
Philadelphia PA 19107-5109
Phone: (215) 928-3300
Fax: (215) 825-4723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Pennsylvania |
Profile Details
| NPI number | 1093752495 |
|---|---|
| LBN Legal business name | Retina Diagnostic & Treatment Associates, Llc |
| DBA Doing business as | |
| Authorized official | Brown, Gary C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Nov 28th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093752495 | NPPES |
| Pennsylvania | MEDICAID | 101472321-0001 |
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