Organization Name: | MARYLAND SURGICAL CARE PC |
NPI Number: | 1154581973 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARTH D ROSENBERG (VICE PRESIDENT) |
Mailing Address: | 201 N George St Ste 103 Charles Town |
State: | WV US |
Postal Code: | 254141574 |
Phone Number: | 3047244080 |
Fax Number: | 3016687819 |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 22702 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |