Organization
WHITE SQUARE VASCULAR SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD ABU-GHAIDA (MD OWNER)
(443) 255-4750
Entity
Organization
Contact information
Practice address
2324 W JOPPA RD STE 100, LUTHERVILLE, MD 21093-4617
(410) 918-1525
Mailing address
5233 KING AVE STE 208, BALTIMORE, MD 21237-4003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
04/07/2024
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