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Organization
CLINTON FIBROID & VASCULAR LLC
Active
Organization
CLINTON FIBROID & VASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORDINE GAUGAU MD (MEDICAL DIRECTOR)
(240) 244-2302
Entity
Organization
Contact information
Practice address
9131 PISCATAWAY RD STE 240, CLINTON, MD 20735-2578
(240) 244-2302
(410) 975-4645
Mailing address
9131 PISCATAWAY RD STE 240, CLINTON, MD 20735-2578
(240) 244-2302
(410) 975-4645
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
D0063972
MD
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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