Healthcare Provider Details

I. General information

NPI: 1710951082
Provider Name (Legal Business Name): CV SURGICAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 PINE BLUFF ROAD SUITE 25
SALISBURY MD
21801-7162
US

IV. Provider business mailing address

201 PINE BLUFF ROAD SUITE 25
SALISBURY MD
21801-7162
US

V. Phone/Fax

Practice location:
  • Phone: 410-546-1353
  • Fax: 410-543-8360
Mailing address:
  • Phone: 410-546-1353
  • Fax: 410-543-8360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. CONNIE ZIMMERMAN
Title or Position: PRACTICE MANAGER
Credential:
Phone: 410-546-1353