MEDICARE: SAMER SAIEDY MD PA

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	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1588417976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMER SAIEDY MD PA

Provider Business Mailing Address
First Line	:	110 OLD PADONIA RD STE 201
Second Line	:
City	:	COCKEYSVILLE
State	:	MD
Zip	:	21030-4949
Country	:	US
Telephone Number	:	443-761-6570
Fax Number	:	410-337-5134

Provider Business Practice Location Address
First Line	:	1811 CRAIN HWY S STE C
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-5561
Country	:	US
Telephone Number	:	443-761-6630
Fax Number	:	410-768-1571

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MELISSA MARIE COSTER
Credential	:
Telephone Number	:	443-761-6570

Provider Enumeration Date	:	04/08/2024
Last Update Date	:	04/08/2024

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Directions to “SAMER SAIEDY MD PA ” Practice Location

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