# POTOMAC HEALTH MEDICAL OF NJ PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447820162
- **Authorized official:** JAY A KIMMEL (MD)
- **Authorized official phone:** (203) 204-3855

## Contact information

- **Practice address:** 101 EISENHOWER PKWY, SUITE 300, ROSELAND, NJ 07068
- **Practice address phone:** (203) 204-3855
- **Mailing address:** 101 EISENHOWER PKWY, SUITE 300, ROSELAND, NJ 07068

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2021
- **Last updated:** 06/25/2021