Organization
POTOMAC CARDIOVASCULAR CONSULTANTS, LLC
Active
Other names
Mariano Chutuape MD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANO D. CHUTUAPE M.D. (PHYSICIAN)
(703) 730-8002
Entity
Organization
Contact information
Practice address
2010 OPITZ BLVD STE C, WOODBRIDGE, VA 22191-3359
(703) 730-8002
(703) 730-8025
Mailing address
2280 OPITZ BLVD STE 260, WOODBRIDGE, VA 22191-3362
(703) 730-8002
(703) 730-8025
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
101053905
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC1619
MEDICARE RAILROAD
—
Enumeration date
10/03/2006
Last updated
10/08/2024
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