Whitesquare Vascular Surgery PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

WHITESQUARE VASCULAR SURGERY PA

Practice address

9114 Philadelphia Road
Suite 308
Baltimore, MD 21237

Phone

(410) 682-4433

Fax

(410) 682-4051

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George J Jabaji, M D

Title

President

Phone

(410) 682-4433

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1063445179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA ROAD",
            "address_2": "SUITE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-682-4433",
            "fax_number": "410-682-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA ROAD",
            "address_2": "SUITE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "410-682-4433",
            "fax_number": "410-682-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITESQUARE VASCULAR SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "JABAJI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-682-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitehead'S Reflective Image Counseling & Consulting Services
• Gregory Louis Whitehorn, MD
• Yvonne Ibifuro Whitelaw, MD
• Crystal Whiten
• Greg Matthew Whiteside
• Dlynn Arianna Whitfield
• Hilary B Whitlatch, M.D.
• Zariaya Whitley
• Patricia Whitlock, CIT
• Glenn Whitman, MD

• Vascular Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Vascular Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.