| Potomac Health & Wellness (phw), Inc | |
|
8321 Old Courthouse Rd Ste 202 Vienna VA 22182-3817 | |
| (703) 740-4577 | |
| (703) 448-1257 |
| Full Name | Potomac Health & Wellness (phw), Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8321 Old Courthouse Rd, Vienna, Virginia |
| Authorized Official Name and Position | Amjad Malik (VP) |
| Authorized Official Contact | 7037404577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Health & Wellness (phw), Inc Po Box 5776 Arlington VA 22205-0776 Ph: (703) 740-4577 | Potomac Health & Wellness (phw), Inc 8321 Old Courthouse Rd Ste 202 Vienna VA 22182-3817 Ph: (703) 740-4577 |
| NPI Number | 1508245069 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508245069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101226851 (Virginia) | Primary |
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