Organization
USA VEIN CLINICS OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY JACKSON (MANAGER)
(323) 350-1204
Entity
Organization
Contact information
Practice address
1809 REISTERSTOWN RD STE 146C, PIKESVILLE, MD 21208-6329
(410) 580-0057
(224) 235-4652
Mailing address
304 WAINWRIGHT DR, NORTHBROOK, IL 60062-1900
(323) 350-1204
(224) 235-4652
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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