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HAGERSTOWN MANAGEMENT LLC NPI 1952843435


NPI Information

NPI: 1952843435
Provider Name: HAGERSTOWN MANAGEMENT LLC

Doing Business As: MARYLAND VASCULAR SPECIALISTS

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 21D2220482

Address:
11110 MEDICAL CAMPUS RD
SUITE 125
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 714-4330
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HAGERSTOWN MANAGEMENT LLC is a vascular surgery surgery in Hagerstown, 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. HAGERSTOWN MANAGEMENT LLC NPI is 1952843435. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Maryland Vascular Specialists.

The provider's business location address is:

11110 MEDICAL CAMPUS RD
SUITE 125
HAGERSTOWN, MD
ZIP 21742-700
Phone: (301) 714-4330
Fax: (301) 714-4332

The provider's authorized official is Samer Saiedy .
The authorized official title is Owner and has the following contact phone number (410) 825-4530.

The CLIA number assigned to this NPI record is 21D2220482 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2016 and was last updated on 11/15/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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