Organization · Type 2 NPI

Vascular Access Center of Southern Maryland LLC

Vascular Surgery Physician · Brandywine, MD

NPI number 1366848632 Active

Practice location

7651 Matapeake Business Dr, Suite 101
Brandywine, MD 20613-3038

Mailing address

2929 Arch Street, Suite 1705
Philadelphia, PA 19104-2866

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204XNone listed
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1366848632

Vascular Access Center of Southern Maryland LLC's National Provider Identifier is 1366848632, issued on Nov 13, 2014. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Brandywine, MD. The record was last updated on Jun 1, 2020.