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Organization
POTOMAC PHYSICIAN ASSOCIATES
Active
Organization
POTOMAC PHYSICIAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY RICHARDS (CREDENTIALING COORDINATOR)
(301) 493-4440
Entity
Organization
Contact information
Practice address
8401 CONNECTICUT AVE PH SUITE, CHEVY CHASE, MD 20815-5822
(301) 942-2212
Mailing address
10215 FERNWOOD RD, STE 100, BETHESDA, MD 20817-1106
(301) 493-4440
(301) 493-9778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/26/2006
Last updated
06/17/2019
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