# POTOMAC PHYSICIAN ASSOCIATES

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

## Provider details

- **NPI number:** 1831112143
- **Authorized official:** KELLY RICHARDS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (301) 493-4440

## Contact information

- **Practice address:** 8401 CONNECTICUT AVE PH SUITE, CHEVY CHASE, MD 20815-5822
- **Practice address phone:** (301) 942-2212
- **Mailing address:** 10215 FERNWOOD RD, STE 100, BETHESDA, MD 20817-1106
- **Mailing address phone:** (301) 493-4440
- **Mailing address fax:** (301) 493-9778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 06/17/2019