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Contact Information

CENTER FOR VEIN RESTORATION MD LLC
12107 OLD LINE CTR
WALDORF, MD20602-2552
 Phone: 855-830-8346
 Fax: 240-473-4321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for CENTER FOR VEIN RESTORATION MD LLC

NPI # 1487476792
LBN Legal business name CENTER FOR VEIN RESTORATION MD LLC
Authorized official LORENA THOMAS - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2024
Last updated 10/28/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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