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Organization

POTOMAC HEALTH OF WASHINGTON 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

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
11/01/2022
Last updated
11/01/2022
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