Organization
POTOMAC HEALTHCARE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK ESKEW CEO (CEO)
(301) 642-5390
Entity
Organization
Contact information
Practice address
198 THOMAS JOHNSON DR STE 5, FREDERICK, MD 21702-4449
(301) 624-5390
Mailing address
198 THOMAS JOHNSON DR STE 5, FREDERICK, MD 21702-4449
(301) 624-5390
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
10554640
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215171863
NPI
MD
01
—
1477595916
NPI
MD
01
—
1720248198
NPI
MD
Enumeration date
10/17/2012
Last updated
10/17/2012
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