Organization
POTOMAC INTERNAL MEDICINE AND PEDIATRICS,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HARRING M.D. (MEDICAL DOCTOR)
(301) 934-9711
Entity
Organization
Contact information
Practice address
201 CENTENNIAL ST, UNIT C-1, LA PLATA, MD 20646-5967
(301) 934-9711
(301) 934-3998
Mailing address
PO BOX 1734, LA PLATA, MD 20646-1734
(301) 934-9711
(301) 934-3998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0052919
MD
208000000X
Pediatrics Physician
D0052919
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185403800
—
MD
01
—
DC2304
RAILROAD MEDICARE
MD
01
—
J0240001
BCBS DC
MD
01
—
KFL5PO
BCBS OF MARYLAND
MD
Enumeration date
03/27/2007
Last updated
03/26/2009
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