| Potomac On Call Llc | |
|
11215 Seven Locks Rd Potomac MD 20854-3260 | |
| (301) 836-1436 | |
| Not Available |
| Full Name | Potomac On Call Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11215 Seven Locks Rd, Potomac, Maryland |
| Authorized Official Name and Position | Matthew Bruntel (PROVIDER) |
| Authorized Official Contact | 3018361436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac On Call Llc 11100 Powder Horn Dr Potomac MD 20854-2539 Ph: (202) 604-1405 | Potomac On Call Llc 11215 Seven Locks Rd Potomac MD 20854-3260 Ph: (301) 836-1436 |
| NPI Number | 1922647775 |
|---|---|
| Provider Enumeration Date | 12/26/2019 |
| Last Update Date | 12/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922647775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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