# POTOMAC HEALTH OF NEVADA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POTOMAC HEALTH OF
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316777352
- **Legal business name:** POTOMAC HEALTH OF
- **Authorized official:** ADAM KOVARS (DIRECTOR OF OPERATIONS AND PRODUCT)
- **Authorized official phone:** (443) 465-2918

## Contact information

- **Practice address:** 1177 HIGH RIDGE RD, STAMFORD, CT 06905-1221
- **Practice address phone:** (201) 834-4786
- **Mailing address:** 1177 HIGH RIDGE RD, STAMFORD, CT 06905-1221
- **Mailing address phone:** (201) 834-4786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2024
- **Last updated:** 08/05/2024