Potomac Healthcare Alliance Llc

NPI 1245582832 - Clinic/Center - 261QP3300X

NPI Details
NPI 1245582832
Enumeration Date 10/08/2012
Last Updated 01/27/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PATRICK PATRICK
Position CEO
Phone (301) 624-5390
Fax (301) 624-5393
Practice Location
198 THOMAS JOHNSON DR
SUITE 5
FREDERICK MD, 21702-4398, US
Phone (301) 624-5390
Fax (301) 624-5393
Business Location
198 THOMAS JOHNSON DR
SUITE 5
FREDERICK MD, 21702-4398, US
Phone (301) 624-5390
Fax (301) 624-5393
Toxanomy
Taxonomy Code 261QP3300X
License State
License Number
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According to our database, Potomac Healthcare Alliance Llc NPI is 1245582832, taxonomy code is 261QP3300X Potomac Healthcare Alliance Llc physically located at 198 Thomas Johnson Dr, Frederick MD, 21702-4398. NPI Number 1033115704 has the healthcare provider type.

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1245582832 NPI number is provided on an as is basis without warranty of any kind. 1245582832 is maintained by the National Plan & Provider Enumeration System. The contents of Potomac Healthcare Alliance Llc are for informational purposes only.