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Organization

POTOMAC ON CALL LLC

Active
Other names
Potomac ElderCare Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW BRUNTEL (PROVIDER)
(301) 836-1436
Entity
Organization

Contact information

Practice address
11215 SEVEN LOCKS RD, POTOMAC, MD 20854-3260
(301) 836-1436
Mailing address
11100 POWDER HORN DR, POTOMAC, MD 20854-2539
(202) 604-1405

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/26/2019
Last updated
12/26/2019
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