Organization · Type 2 NPI
Minimally Invasive Vascular Center of Maryland LLC
Vascular Surgery Physician · Laurel, MD
NPI number
1457592685
Active
Practice location
8730 Cherry Lane, Suite 10
Laurel, MD 20707
Fax (240) 334-4781
Mailing address
8730 Cherry Ln Ste 10
Laurel, MD 20707-6212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | H0065639 (MD) |
| Vascular Surgery Physician Primary | 2086S0129X | H0065639 (MD) |
| Vascular Surgery Physician | 2086S0129X | D0034245 (DC) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2 other providers at this address
Other vascular surgery physician providers in Laurel
About NPI 1457592685
Minimally Invasive Vascular Center of Maryland LLC's National Provider Identifier is 1457592685, issued on Mar 18, 2009. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Laurel, MD. The record was last updated on Feb 8, 2021.