Organization
CENTER FOR VASCULAR MEDICINE CT, PLLC
Active
Parent organization
CENTER FOR VASCULAR MEDICINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR VASCULAR MEDICINE LLC
Authorized official
RICHARD KENNEDY PA-C (CHIEF EXECUTIVE OFFICER)
(301) 982-2000
Entity
Organization
Contact information
Practice address
136 BERLIN RD STE 202, CROMWELL, CT 06416-2622
(301) 486-4690
(301) 982-2001
Mailing address
7474 GREENWAY CENTER DR STE 900, GREENBELT, MD 20770-3504
(301) 486-4690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
01/25/2021
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