Organization
DC METROPOLITAN VASCULAR & IR PROCEDURE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LICATTA (PRESIDENT)
(240) 427-1630
Entity
Organization
Contact information
Practice address
5801 ALLENTOWN RD STE 502, CAMP SPRINGS, MD 20746-4653
(240) 427-1630
(240) 492-2070
Mailing address
5801 ALLENTOWN RD STE 502, CAMP SPRINGS, MD 20746-4653
(240) 427-1630
(240) 492-2070
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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