| NPI | 1174074538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY JARWRI DORMU CEO/Vascular Surgeon 301-497-1590 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-11-02 |