Provider Demographics
NPI:1174234827
Name:VASCULAR SURGERY ASSOCIATES, L.L.C.
Entity type:Organization
Organization Name:VASCULAR SURGERY ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-879-2006
Mailing Address - Street 1:520 UPPER CHESAPEAKE DR STE 306
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4375
Mailing Address - Country:US
Mailing Address - Phone:410-879-2006
Mailing Address - Fax:
Practice Address - Street 1:902 WASHINGTON RD STE E
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5832
Practice Address - Country:US
Practice Address - Phone:443-289-9277
Practice Address - Fax:443-289-9278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies