Individual
DR. SAMUEL J POTOLICCHIO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4940 HAMPDEN LN STE 300, BETHESDA, MD 20814-2968
(301) 652-7155
(301) 246-8628
Mailing address
5214 ALBEMARLE ST, BETHESDA, MD 20816-1829
(301) 602-2906
(301) 246-8628
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101052485
VA
207T00000X
Neurological Surgery Physician
Primary
D0042536
MD
2084N0400X
Neurology Physician
0101052485
VA
Other
Enumeration date
02/27/2006
Last updated
02/14/2024
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