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Individual

MR. CLIFFORD PODDAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
19785 CRYSTAL ROCK DR, SUITE 209, GERMANTOWN, MD 20874-4700
(301) 515-2901
Mailing address
8915 LIBERTY LN, POTOMAC, MD 20854-3639
(240) 286-4465

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004671
MD

Other

Enumeration date
09/26/2012
Last updated
09/26/2012
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