MEDICARE: VASCULAR SURGERY ASSOCIATES, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1174234827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASCULAR SURGERY ASSOCIATES, L.L.C.

Provider Business Mailing Address
First Line	:	520 UPPER CHESAPEAKE DR STE 306
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-4375
Country	:	US
Telephone Number	:	410-879-2006
Fax Number	:

Provider Business Practice Location Address
First Line	:	902 WASHINGTON RD STE E
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5832
Country	:	US
Telephone Number	:	443-289-9277
Fax Number	:	443-289-9278

Authorized Official
Title or Position	:	MD, MANAGING PARTNER
Name	:	ROGER E SCHNEIDER
Credential	:
Telephone Number	:	410-879-2006

Provider Enumeration Date	:	12/13/2022
Last Update Date	:	12/13/2022

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