Organization
POTOMAC PAIN AND REHABILITATION ASSOCIATES, LLC
Active
Organization
POTOMAC PAIN AND REHABILITATION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADIL AJAY YUNIS M.D. (MEDICAL DIRECTOR)
(301) 934-2776
Entity
Organization
Contact information
Practice address
203 CENTENNIAL ST SUITE 104, LA PLATA, MD 20646-2540
(301) 934-2776
(301) 934-1417
Mailing address
PO BOX 2540, 203 CENTENNIAL ST SUITE 104, LA PLATA, MD 20646-2540
(301) 934-2776
(301) 934-1417
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512006300
—
MD
Enumeration date
04/17/2007
Last updated
04/25/2013
Update your record
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