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Center for Vein Restoration MD LLC

NPI #1487476792 in Waldorf, Maryland

Provider Information

NPI Number
1487476792
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
12107 OLD LINE CTR
City
Waldorf
State
Maryland
ZIP Code
20602-2552
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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