Organization
BAY VASCULAR SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY CLARK MD (OWNER)
(410) 298-8223
Entity
Organization
Contact information
Practice address
3623 FALLS RD, BALTIMORE, MD 21211-1815
(410) 298-8223
(410) 298-8225
Mailing address
3623 FALLS RD, BALTIMORE, MD 21211-1815
(410) 298-8223
(410) 298-8225
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D0054318
MD
Other
Enumeration date
11/15/2007
Last updated
04/09/2008
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