POTOMAC PHYSICIANS PA NPI 1790706844

NPI Information

POTOMAC PHYSICIANS PA is a family medicine in Baltimore, MD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. POTOMAC PHYSICIANS PA NPI is 1790706844. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9649 BELAIR RD
SECOND FLOOR
BALTIMORE, MD
ZIP 21236-100
Phone: (410) 248-2650
Fax: (410) 248-2657

The provider's authorized official is Carol Reynolds .
The authorized official title is Presidentmedical Director and has the following contact phone number (410) 248-2650.

The CLIA number assigned to this NPI record is 21D0219474 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/22/2006 and was last updated on 11/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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