Organization
POTOMAC HEALTH OF SOUTH CAROLINA PC
Active
Parent organization
POTOMAC HEALTH PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
POTOMAC HEALTH PC
Authorized official
JAY A KIMMEL (CHIEF MEDICAL OFFICER)
(860) 728-6740
Entity
Organization
Contact information
Practice address
1177 HIGH RIDGE RD, STAMFORD, CT 06905-1221
(201) 834-4786
Mailing address
1177 HIGH RIDGE RD, STAMFORD, CT 06905-1221
(201) 834-4786
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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