Organization
PREMIER VASCULAR CENTER OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUHAMAD O. ANNOUS M.D. (PRESIDENT)
(410) 323-9214
Entity
Organization
Contact information
Practice address
7801 YORK ROAD, SUITE 240, TOWSON, MD 21286
(410) 323-9214
(410) 323-9215
Mailing address
1900 E NORTHERN PKWY STE 209, BALTIMORE, MD 21239-2110
(410) 323-9214
(410) 323-9215
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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