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A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery |
| NPI # | 1831648203 |
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| LBN Legal business name | BAY CARDIOVASCULAR SURGERY PA | ||||||||
| Authorized official | LOFTON MISICK - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 09/27/2016 | ||||||||
| Last updated | 08/29/2022 - About 4 years ago | ||||||||
| Identifiers |
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BAY CARDIOVASCULAR SURGERY PA
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BAY CARDIOVASCULAR SURGERY PA