NPI Provider: 1033154752
Contact Name: Mangal Katikineni
Position: President
Phone: (301) 927-2683
Riverside Eye Associates, P.a. Information:
Riverside Eye Associates, P.a. organization have npi 1033154752, taxonomy code is 207W00000X with license number is in . This Business address located in 6510 Kenilworth Ave, Riverdale, MD 20737 Maryland.
Practice Location
Address: 6510 Kenilworth Ave, Riverdale, MD 20737
Phone: (301) 699-1882
Business Location
Address: 6510 Kenilworth Ave, Riverdale, MD 20737
Phone: (301) 699-1882
Fax: (301) 209-9456
Taxonomy
Taxonomy Code: 207W00000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2006
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