Center for Vein Restoration MD LLC

NPI #1801618129 in Mc Lean, Virginia

Provider Information

NPI Number: 1801618129
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: 8200 GREENSBORO DR STE 210
City: Mc Lean
State: Virginia
ZIP Code: 22102-3803
Phone: (855) 830-8346

Authorized Official

Name: LORENA THOMAS
Title: CREDENTIALING MANAGER
Phone: (815) 254-1761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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