Organization
POTOMAC HEALTH & WELLNESS (PHW), INC
Active
Other names
Potomac Health and Wellness, LLC, PHW Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMJAD MALIK (VP)
(703) 740-4577
Entity
Organization
Contact information
Practice address
8321 OLD COURTHOUSE RD, STE 202, VIENNA, VA 22182-3817
(703) 740-4577
(703) 448-1257
Mailing address
PO BOX 5776, ARLINGTON, VA 22205-0776
(703) 740-4577
(703) 448-1257
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
05/29/2015
Last updated
01/16/2025
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