Organization
VASCULAR SPECIALTY SERVICES, LLC
Active
Other names
Vascular Ellicott City
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN DEIBEL (EXECUTIVE VICE PRESIDENT/CFO)
(410) 659-2905
Entity
Organization
Contact information
Practice address
3290 N RIDGE RD STE 220, ELLICOTT CITY, MD 21043-3657
(410) 332-9404
(410) 347-5599
Mailing address
301 ST PAUL PLACE, MEDICAL STAFF OFFICE, BALTIMORE, MD 21202-2102
(410) 659-2963
(410) 332-9789
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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