WHITESQUARE VASCULAR SURGERY PA – NPI #1063445179
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

WHITESQUARE VASCULAR SURGERY PA is a surgeon located in BALTIMORE, MD. NPPES has assigned the NPI number 1063445179 to WHITESQUARE VASCULAR SURGERY PA on July 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 15 years ago on Jul 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WHITESQUARE VASCULAR SURGERY PA below.

NPI Profile for
WHITESQUARE VASCULAR SURGERY PA

NPI Number
1063445179
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WHITESQUARE VASCULAR SURGERY PA
Primary location
9114 PHILADELPHIA ROAD
SUITE 308
BALTIMORE, MD 21237
Phone: (410) 682-4433 Fax: (410) 682-4051
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GEORGE JABAJI
PRESIDENT
Phone: (410) 682-4433
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.