Organization
WASHINGTON VASCULAR AND THORACIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L ASHBURN (CLIENT MANAGER)
(410) 882-3459
Entity
Organization
Contact information
Practice address
106 IRVING ST NW, SUITE 3150 NORTH, WASHINGTON, DC 20010-2927
(410) 882-3459
(410) 882-3310
Mailing address
8725 LOCH RAVEN BLVD, SUITE 200, TOWSON, MD 21286-2227
(410) 882-3459
(410) 882-3310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018109400
—
DC
05
—
600100900
—
MD
Enumeration date
10/09/2006
Last updated
03/24/2010
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