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Organization

MONTGOMERY VILLAGE PAIN AND REHABILITATION CENTER LLC

Active
Parent organization
POTOMAC HEALTHCARE ALLIANCE LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
POTOMAC HEALTHCARE ALLIANCE LLC
Authorized official
PATRICK ESKEW (CFO)
(301) 625-5390
Entity
Organization

Contact information

Practice address
19211 MONTGOMERY VILLAGE AVE, SUITE B-12, MONTGOMERY VILLAGE, MD 20886-5028
(240) 477-5452
Mailing address
19211 MONTGOMERY VILLAGE AVE, SUITE B-12, MONTGOMERY VILLAGE, MD 20886-5028
(240) 477-5452

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
11/20/2012
Last updated
02/25/2015
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