Organization
POTOMAC INTERNAL MEDICINE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA GOLESORKHI M.D. (OWNER)
(703) 590-8375
Entity
Organization
Contact information
Practice address
3985 PRINCE WILLIAM PKWY, SUITE 102, WOODBRIDGE, VA 22192-5010
(703) 590-8375
(703) 590-8379
Mailing address
3985 PRINCE WILLIAM PKWY, SUITE 102, WOODBRIDGE, VA 22192-5010
(703) 590-8375
(703) 590-8379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101233727
VA
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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