institution
White Square Vascular Surgery Pa
Vascular Surgery Physician in Baltimore, Maryland
NPI 1285666008

White Square Vascular Surgery Pa is a Vascular Surgery Physician based in White Marsh, MD and is specialized in Vascular Surgery. White Square Vascular Surgery Pa practices in Baltimore, MD. The NPI Number for White Square Vascular Surgery Pa is 1285666008 and holds a License No. (Maryland).

The current practice location address for White Square Vascular Surgery Pa is 5233 King Ave, Baltimore, MD and can be reached out via phone at 410-918-1525 and via fax at 410-918-1526. You can also correspond with White Square Vascular Surgery Pa through the mailing address at 10845 PHILADELPHIA RD, WHITE MARSH, MD - 21162-1717 (mailing address contact number: 410-335-0008).

Location: 5233 King Ave, Baltimore, MD, 21162-1717
institution
Provider Profile Details
NPI Number
1285666008
Provider Name
White Square Vascular Surgery Pa
Credential
Provider Entity Type
Organization
Address
5233 King Ave, Baltimore, MD, 21162-1717
Phone Number
410-918-1525
Fax Number
410-918-1526
Provider Enumeration Date
07/06/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
462105100 01 MD MEDICAL ASSISTANCE
DF0610 01 GA RAILROAD MEDICARE
4490 01 DC CAREFIRST DC
09QSAM 01 MD CAREFIRST MD
institution
Provider Business Practice Location Address Details
Address
5233 King Ave
City
State
Zip
21237-4003
Phone Number
410-918-1525
Fax Number
410-918-1526
person
Provider Business Mailing Address Details
Address
5233 King Ave
City
State
Zip
21237-4003
Phone Number
410-918-1525
Fax Number
410-918-1526
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
()
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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