Organization
POTOMAC HEALTH MEDICAL OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY KIMMEL MD (PHYSICIAN)
(860) 282-0833
Entity
Organization
Contact information
Practice address
1177 HIGH RIDGE RD, STAMFORD, CT 06905
(860) 282-0833
Mailing address
1177 HIGH RIDGE RD, STAMFORD, CT 06905
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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