Organization
MONTGOMERY VILLAGE PAIN AND REHABILITATION CENTER LLC
Active
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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