| Potomac Neurology, Llp | |
|
9707 Medical Center Dr Ste 220 Rockville MD 20850-6338 | |
| (240) 477-5973 | |
| (301) 519-0279 |
| Full Name | Potomac Neurology, Llp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9707 Medical Center Dr Ste 220, Rockville, Maryland |
| Authorized Official Name and Position | Thien Nguyen (DIRECTOR) |
| Authorized Official Contact | 2404775973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Neurology, Llp 9707 Medical Center Dr Ste 220 Rockville MD 20850-6338 Ph: (240) 477-5973 | Potomac Neurology, Llp 9707 Medical Center Dr Ste 220 Rockville MD 20850-6338 Ph: (240) 477-5973 |
| NPI Number | 1558602854 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Medicare PECOS PAC ID | 1254573686 |
|---|---|
| Medicare Enrollment ID | O20130814000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558602854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | D0062240 (Maryland) | Primary |
| Provider Name | Thien T Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639123938 PECOS PAC ID: 4981660131 Enrollment ID: I20130814000040 |
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