# POTOMAC VALLEY ORTHOPEDIC ASSOC, CHARTERED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Potomac Valley Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245348549
- **Authorized official:** DR. DANIEL TANG M.D. (PRESIDENT)
- **Authorized official phone:** (301) 774-0500

## Contact information

- **Practice address:** 3414 OLANDWOOD CT, OLNEY, MD 20832-1384
- **Practice address phone:** (301) 774-0501
- **Practice address fax:** (301) 774-1186
- **Mailing address:** PO BOX 960, OLNEY, MD 20830-0960
- **Mailing address phone:** (301) 774-0501
- **Mailing address fax:** (301) 774-1186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | D0019012 | MD | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | D0019012 | MD | — |

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 03/30/2010