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Organization
POTOMAC ON CALL LLC
Active
Organization
POTOMAC ON CALL LLC
Active
Other names
Potomac ElderCare Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BRUNTEL (PROVIDER)
(301) 836-1436
Entity
Organization
Contact information
Practice address
11215 SEVEN LOCKS RD, POTOMAC, MD 20854-3260
(301) 836-1436
Mailing address
11100 POWDER HORN DR, POTOMAC, MD 20854-2539
(202) 604-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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