# POTOMAC ON CALL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Potomac ElderCare Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922647775
- **Authorized official:** MATTHEW BRUNTEL (PROVIDER)
- **Authorized official phone:** (301) 836-1436

## Contact information

- **Practice address:** 11215 SEVEN LOCKS RD, POTOMAC, MD 20854-3260
- **Practice address phone:** (301) 836-1436
- **Mailing address:** 11100 POWDER HORN DR, POTOMAC, MD 20854-2539
- **Mailing address phone:** (202) 604-1405

## Taxonomy

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

## Other

- **Enumeration date:** 12/26/2019
- **Last updated:** 12/26/2019