| Potomac Internal Medicine,pllc | |
|
3985 Prince William Pkwy Suite 102 Woodbridge VA 22192-5010 | |
| (703) 590-8375 | |
| (703) 590-8379 |
| Full Name | Potomac Internal Medicine,pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3985 Prince William Pkwy, Woodbridge, Virginia |
| Authorized Official Name and Position | Reza Golesorkhi (OWNER) |
| Authorized Official Contact | 7035908375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Internal Medicine,pllc 3985 Prince William Pkwy Suite 102 Woodbridge VA 22192-5010 Ph: (703) 590-8375 | Potomac Internal Medicine,pllc 3985 Prince William Pkwy Suite 102 Woodbridge VA 22192-5010 Ph: (703) 590-8375 |
| NPI Number | 1255565339 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255565339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101233727 (Virginia) | Primary |
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