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Organization
POTOMAC PHYSICIANS PA
Active
Organization
POTOMAC PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL REYNOLDS M.D. (PRESIDENTMEDICAL DIRECTOR)
(410) 248-2650
Entity
Organization
Contact information
Practice address
9649 BELAIR RD, SECOND FLOOR, BALTIMORE, MD 21236-1100
(410) 248-2650
(410) 248-2657
Mailing address
9649 BELAIR RD, SECOND FLOOR, BALTIMORE, MD 21236-1100
(410) 248-2650
(410) 248-2657
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
07/22/2006
Last updated
11/23/2009
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