WHITESQUARE VASCULAR SURGERY PA NPI 1063445179

NPI Information

WHITESQUARE VASCULAR SURGERY PA is a vascular surgery surgery in Baltimore, MD. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. WHITESQUARE VASCULAR SURGERY PA NPI is 1063445179. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9114 PHILADELPHIA ROAD
SUITE 308
BALTIMORE, MD
ZIP 21237
Phone: (410) 682-4433
Fax: (410) 682-4051

The provider's authorized official is George J Jabaji .
The authorized official title is President and has the following contact phone number (410) 682-4433.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 7/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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