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CENTER FOR VEIN RESTORATION MD LLC
NPI 1487476792
Surgery - Vascular Surgery in Waldorf, MD

Active since October 28, 2024
12107 OLD LINE CTR, WALDORF, MD 20602(855) 830-8346(240) 473-4321 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center For Vein Restoration Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR VEIN RESTORATION MD LLC (NPI 1487476792) is a healthcare organization registered as a vascular surgery in Waldorf, Maryland and active in the NPI registry since October 2024. The organization lists Lorena Thomas, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1487476792
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCENTER FOR VEIN RESTORATION MD LLC
Location Address12107 OLD LINE CTRWaldorf, MD 20602-2552
Mailing Address7474 Greenway Center Dr Ste 1000Greenbelt, MD 20770-3500 · (815) 254-1761 · Fax (240) 473-4321
Phone(855) 830-8346
Fax(240) 473-4321
Organization SubpartNo
Authorized OfficialLorena ThomasCredentialing Manager · (815) 254-1761
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1487476792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
12107 OLD LINE CTR, Waldorf, MD 20602
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLY LUCY GUILLEN AGUIRRE MD
Internal Medicine
12107 OLD LINE CTR
WALDORF, MD 20602
Charles County (240) 207-6450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Vein Restoration MD LLC's NPI number?

The NPI number for Center For Vein Restoration MD LLC is 1487476792. It was assigned to this organization in the NPPES registry on October 28, 2024.

Where is Center For Vein Restoration MD LLC located?

Center For Vein Restoration MD LLC is located at 12107 Old Line Ctr, Waldorf, MD 20602. The listed phone number is (855) 830-8346.

What is Center For Vein Restoration MD LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Center For Vein Restoration MD LLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.