| Mypotential Clinic - Rockville Llc | |
|
9701 Veirs Dr Rockville MD 20850-3414 | |
| (301) 424-9560 | |
| Not Available |
| Full Name | Mypotential Clinic - Rockville Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 9701 Veirs Dr, Rockville, Maryland |
| Authorized Official Name and Position | Richard M Mazza (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3013542710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mypotential Clinic - Rockville Llc 2301 Research Blvd Suite 310 Rockville MD 20850-3204 Ph: (301) 354-2710 | Mypotential Clinic - Rockville Llc 9701 Veirs Dr Rockville MD 20850-3414 Ph: (301) 424-9560 |
| NPI Number | 1497295406 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 07/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497295406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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