Organization
POTOMAC PATHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME THOMAS O'CONNELL JR. M.D. (PRESIDENT)
(703) 670-1835
Entity
Organization
Contact information
Practice address
2300 OPITZ BLVD, DEPARTMENT OF PATHOLOGY, WOODBRIDGE, VA 22191-3311
(703) 670-1835
Mailing address
4400 LOWELL ST NW, WASHINGTON, DC 20016-2749
(202) 744-1710
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101231713
VA
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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