Provider Demographics
NPI:1952843435
Name:HAGERSTOWN MANAGEMENT LLC
Entity Type:Organization
Organization Name:HAGERSTOWN MANAGEMENT LLC
Other - Org Name:MARYLAND VASCULAR SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAIEDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-825-4530
Mailing Address - Street 1:1212 YORK RD
Mailing Address - Street 2:SUITE B201
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6240
Mailing Address - Country:US
Mailing Address - Phone:410-825-4530
Mailing Address - Fax:410-825-3787
Practice Address - Street 1:11110 MEDICAL CAMPUS RD
Practice Address - Street 2:SUITE 125
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6700
Practice Address - Country:US
Practice Address - Phone:301-714-4330
Practice Address - Fax:301-714-4332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty