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POTOMAC HEALTHCARE ALLIANCE LLC NPI 1245582832


NPI Information

NPI: 1245582832
Provider Name: POTOMAC HEALTHCARE ALLIANCE LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
198 THOMAS JOHNSON DR
SUITE 5
FREDERICK, MD
ZIP 21702
Phone: (301) 624-5390
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POTOMAC HEALTHCARE ALLIANCE LLC is a pain clinic center in Frederick, MD. POTOMAC HEALTHCARE ALLIANCE LLC NPI is 1245582832. The provider is registered as an organization entity type.

The provider's business location address is:

198 THOMAS JOHNSON DR
SUITE 5
FREDERICK, MD
ZIP 21702-398
Phone: (301) 624-5390
Fax: (301) 624-5393

The provider's authorized official is Patrick Eskew .
The authorized official title is Ceo and has the following contact phone number (301) 624-5390.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 1/27/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP3300XClinic/CenterPainYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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