Mivc Asc, LLC
NPI #1174074538 in Laurel, Maryland
Provider Information
- NPI Number
- 1174074538
- Entity Type
- Organization
- Organization Name
- Mivc Asc, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MINIMALLY INVASIVE VASCULAR CENTER OF MARYLAND
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 20, 2016
- Last Updated
- Nov 2, 2016
Practice Location
Authorized Official
- Name
- DR. JEFFERY JARWRI DORMU, DO
- Title
- CEO/VASCULAR SURGEON
- Phone
- (301) 497-1590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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