Center for Vein Restoration MD LLC
NPI #1215759519 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1215759519
- Entity Type
- Organization
- Organization Name
- Center for Vein Restoration MD LLC
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Oct 28, 2024
- Last Updated
- Oct 28, 2024
Practice Location
- Address
- 1600 CRAIN HWY S STE 408
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-6437
- Phone
- (855) 830-8346
Authorized Official
- Name
- LORENA THOMAS
- Title
- CREDENTIALING MANAGER
- Phone
- (815) 254-1761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
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