OrganizationActive
Center for Vein Restoration MD LLC
NPI 1487476792 · Vascular Surgery Physician · Waldorf, MD
Provider details
- NPI number
- 1487476792
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lorena Thomas, Credentialing Manager(815) 254-1761
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12107 Old Line Ctr
Waldorf, MD 20602-2552
Phone: (855) 830-8346
Fax: (240) 473-4321
Approximate (ZIP-level) locationGet directions
Mailing address
7474 Greenway Center Dr Ste 1000
Greenbelt, MD 20770-3500
Registry dates
- Enumerated
- 2024-10-28
- Last updated
- 2024-10-28
- Certified
- 2024-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.